Prescription Access Liaison (PAL)- SUNY Downstate

Prescription Access Liaison - Brooklyn, NY

An integral part of the care team, the Prescription Access Liaison (PAL), will work independently in the clinic and pharmacy environment to establish strong, credible relationships with patients, clinicians, and internal pharmacy staff to help provide high level, specialized prescriptive care to patients beyond the scope of routine pharmacy practice in a timely and professional manner.

VytlOne is a leading pharmacy care solutions company dedicated to improving patient outcomes and lowering the total cost of care through our clinically integrated set of pharmacy care services. Our teams help optimize the pharmacy experience for patients, our customers, their employees, and members whether it's through our customized pharmacy benefit offerings; providing access to prescription medications and therapies through our home delivery and specialty pharmacies; or delivering clinical and financial value with our end-to-end pharmacy management solutions. With a legacy of exceptional service and deep clinical and pharmacy expertise, VytlOne has been a trusted partner enabling pharmacy care since 1926.

The targeted compensation for this range is $28-30/hourly based on experience. National Pharmacy Certification required.

Responsibilities

Responsibilities:

• Answer new referral intake and/or refill calls in a timely and professional manner.
• Accurately input new referrals and update information in designated computer systems as appropriate.
• Coordinate with referral sources to obtain all necessary information to initiate services for new patient referrals. Enter new referral prescriptions into computer and have pharmacist verify accuracy of prescription entries.
• Contact patients to discuss the scope of service for the Specialty Pharmacy and collect information necessary to establish and maintain pharmacy profiles completely and accurately.
• Communicate to stakeholders the necessary information to obtain benefit information, authorization, reauthorization, and reimbursement by e-mailing and scanning pertinent medical information.
• Discuss financial obligations with new patients.
• Address insurance issues that require alternate funding. Work with clinical staff and patient assistance personnel. Register and/or open patients with manufacturer reimbursement programs, as needed.
• Follow up on authorizations to ensure they are achieved prior to dispensing.
• Schedule dispensing calendar for new or refill customers.
• Set up shipping arrangements as needed.
• Assists in co-pay collections, which require communication with the patient.
• Review dispensing calendar and assist with the completion of all order entries and shipments each day.
• Assist the dispensing technicians as needed regarding required refill requests that are discovered at time of dispensing.
• Assist in ordering medications and supplies, audit receipt of goods, review invoices to ensure correctness and route to appropriate contact.
• Gather medications and supplies, labels, and have shipments verified for correctness by the pharmacist.
• Follow up on any shipping exceptions to ensure patient is aware of any possible delays.
• Complete tasks in compliance with ACHC/URAC accreditation standards and policies for the Specialty Pharmacy.
• Maintain accurate and complete patient records.
• Participate in pharmacy orientation programs, training programs, pharmacy staff meetings, in-services, and other programs as required.
• Participate in the Performance Improvement Process.
• Exemplify excellence in customer and client communication and service standards.
• Assist the dispensing technicians as needed regarding required refill requests that are discovered at time of dispensing.
• Assist in compiling necessary reports and/or audit information.
• Assist in maintaining cleanliness and orderliness of the pharmacy.
• Maintains accurate and complete patient records.
• Participate in pharmacy orientation programs, training programs, pharmacy staff meetings, in-services, and other programs as required.
• Exemplify excellence in customer communications and service standards.
• Promptly report allegations of impropriety to the Compliance Department.
• Comply with VytlOne's Ethical Business Conduct policy and VytlOne's Compliance Program.
• Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
• Complete required training, as assigned, within the established timeframes.
• Must be able to cope with the mental and emotional stress of the position.
• Maintain regular attendance in accordance with established policies and procedures.
• Perform other job-related duties as assigned.

Qualifications

Education: High School Diploma or equivalent. National and/or State Certified Pharmacy Technician license, depending on requirements by location.

Experience: A minimum of two (2) years of Pharmacy Tech experience. A combination of prior Pharmacy Technician experience in a high volume, fast paced pharmacy required along with prior experience preferred.

Knowledge, Skills, and Abilities:

• Fluent in Spanish or Hatian/Creole is preferred.
• Must be able to comply with the clients' occupational health requirements.
• Ability to follow established safety, infection control, environmental and isolation practices, and procedures always.
• Excellent Interpersonal skills required to interact effectively with patients and staff. (patients, clinic staff, pharmacy staff and providers)
• Working knowledge of computer software including but not limited to software applications, data entry, EMR documentation, and email.
• Experience/understanding with medication prior authorization processes.
• Specialty Pharmacy experience is a plus.
• Customer service experience.
• Flexible to address any pharmacy need that may arise, especially those that are unexpected or sudden.
• Ability to prioritize and self-manage workload.
• Ability to analyze information and identify inconsistencies.
• Continuous problem solving and quality improvement skills.
• Ability to operate various types of pharmacy computer software and equipment.
• Ability to access patient/drug information systems and accurately enter data into computer
• Excellent organizational and communication skills, both written and verbal.

Work Schedule: Varies by pharmacy. May be required to work rotating shifts, including holidays, weekends, nights, and on-call.

We Offer:

At VytlOne, we foster a diverse and progressive culture that promotes a work-from-home model and a "dress-for-your-day" approach to work attire. Our team-oriented environment encourages collaboration and innovation.

We offer highly competitive compensation and comprehensive health benefits including:

• Comprehensive mental health and wellbeing resources
• Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
• Company-paid basic life/AD&D, short-term and long-term disability insurance
• Rx, dental, vision, other voluntary benefits, and FSA
• Employer-matched 401k Plan
• Industry-leading PTO plan
• And more!

VytlOne (formerly Maxor) is an EOE, including disability/vets