Medication Enroller

POSITION SUMMARY:

Under the direct supervision of the Nursing Director, the Medication enroller will process and track all request for HIV/PrEP injectables refills, prior authorizations (PA), and benefits investigation. The Medication Enroller will perform their duties within the established standards of care, policies and procedures of APLA Health & Wellness.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Contact insurance carriers to verify medication eligibility and requirements
• Request, track and obtain prior authorizations from insurance carriers
• Request, and track medications requested via the patient assistance program (PAP)
• Assist patients with PAP/Foundation Assistance applications
• Communicate any insurance changes or trends among the team
• Clearly document all communications and contacts with insurance companies, PBOs and pharmacies
• Will maintain patients informed on status of patient assistance program, PAs approvals or denials and document in patients electronic health record
• Process refill medications request
• Provide medication information and education to patients, following established protocols and guidelines.
• Document pertinent patient information following established protocols.
• Adheres to all OSHA PPE safety requirements.

OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.

REQUIREMENTS:

Training and Experience:

• High school diploma or GED.
• Current Medical Assistant certificate and/or California Pharmacy Technician certificate
• Minimum of two years’ experience as medical assistant and/or pharmacy technician in an Internal Medicine/Family medical practice a plus.

• Experience working in a nonprofit ASO environment a plus; specific training/experience with HIV/AIDS-related issues a plus.

Knowledge of:

• Knowledge and experience working with target populations, including individuals who share injection paraphernalia, gay and non-gay identified men, youth, women, and transgender individuals a plus.
• HIPAA certified and knowledge of informed consent.

• Knowledge of medical terminology.
• Knowledge of MSDS and emergency treatments.

Ability to:

• Ability to use computerized patient care systems.

• Work independently with minimal direction.
• Work effectively with diverse staff, volunteers and professionals.
• Be at ease and work with a diverse group (ethnic, class, gender, sexual orientation) of individuals who may hold a wide range of opinions regarding prevention needs.
• Engage in community/coalition building.
• Multitask.
• Meet multiple deadlines in a rapidly changing environment
• Maintain patient confidentiality.
• Ensure that services have the following qualities: 1) nonjudgmental 2) are harm reduction focused 3) are sex positive 4) are LGBT positive.

WORKING CONDITIONS/PHYSICAL REQUIREMENTS:

This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.

SPECIAL REQUIREMENTS:

Must possess a valid California driver’s license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes.

Some weekend/evening work may be required.  Local travel (within LA County) is required and some out-of-town and national travel may be required.

COVID-19 and Booster or Medical/ Religious exemption required.

Equal Opportunity Employer: minority/female/transgender/disability/veteran.

Visit our website at www.aplahealth.org  to apply or click the link below: https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=120892&clientkey=A5559163F67395E0A2585D2135F98806