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3w PTO

  • Serve as a primary contact for medication inquiries, triaging calls and portal messages with empathy and urgency.
  • Facilitate prior authorizations and coordinate follow-up appointments to ensure continuity of care.
  • Document all interactions using SBAR standards and educate patients on refill policies and adherence.

Certified Medical Assistant Pharmacy Technician EHR Customer Service Prior Authorization

20 jobs similar to Medication Line Specialist

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$18–$21/hr
US

  • Support clinicians with patient coordination tasks including pharmacy communication, referrals, and scheduling.
  • Provide empathetic, patient-centered communication and document tasks accurately in the electronic health record.
  • Ensure compliance with HIPAA and confidentiality standards while participating in team huddles and quality initiatives.

Curai is a healthcare company that harnesses artificial intelligence and clinical expertise to make high-quality primary care more affordable, accessible, and effective. They are a mission-driven, remote team committed to diversity and inclusion.

US

  • Facilitate medication approvals by communicating with insurance companies and healthcare providers regarding prior authorizations.
  • Navigate pharmacy systems to enter data, adjudicate claims, process refills, and document patient interactions.
  • Assist patients with insurance claims, medication access challenges, and promote adherence through phone support.

Shields Health Solutions is a healthcare company dedicated to helping patients access life-changing medications through prior authorization and financial assistance support. They foster a collaborative, patient-focused culture with opportunities for professional growth in a fully remote setting.

US

  • Communicate with insurance companies and clinician offices to facilitate medication prior authorizations.
  • Assist patients with financial assistance resources and navigate pharmacy systems for claims processing.
  • Support medication adherence through direct patient communication and accurate documentation.

Shields Health Solutions is a healthcare solutions company specializing in specialty pharmacy services. The company fosters a collaborative culture focused on patient care and operational excellence.

US

  • Provide medication prior authorization support for assigned clinics using the Epic In Basket system.
  • Manage prior authorizations from clinic to pharmacy, including submission, tracking, and follow-up.
  • Communicate with clinics, pharmacies, and insurance payers to ensure timely approvals and patient access.

UnityPoint Health is a healthcare system delivering medical services across the Midwest. Recognized as a Top 150 Place to Work in Healthcare, it fosters a culture of belonging and supports team members with development and well-being.

US

  • Communicate directly with insurance companies to facilitate medication approvals and prior authorizations.
  • Navigate pharmacy systems to enter data, adjudicate claims, and document patient interactions across multiple databases.
  • Provide compassionate phone support to patients, helping them manage refills, medication adherence, and pharmacy-related questions.

Shields Health Solutions partners with health systems to provide specialty pharmacy services, helping patients access complex medications. As a growing organization, they emphasize a collaborative culture and patient-centered care, employing pharmacy professionals dedicated to improving medication adherence and health outcomes.

US Unlimited PTO 16w maternity 8w paternity

  • Support member onboarding and care coordination in a remote healthcare environment.
  • Maintain accurate health records and assist with clinical and administrative tasks.
  • Collaborate with care teams to improve patient outcomes and operational workflows.

The partner company is a technology-driven healthcare organization focused on improving chronic disease outcomes. It operates with a collaborative global team and offers opportunities for professional growth.

US

  • Engage patients and help them navigate their care, improving communication with their medical practice.
  • Accurately document patients' medical history and issues in the electronic health record.
  • Utilize effective communication modalities to engage and schedule high-risk patients.

Guidehealth is a data-powered healthcare company using AI to make healthcare affordable and improve patient outcomes. They are a physician-led, remote-first company with a culture focused on accountability, growth, collaboration, and empathy.

  • Support Veterans by answering pharmacy-related telephone inquiries, processing prescription requests, and delivering professional customer service.
  • Document patient interactions in CPRS, review prescription profiles, and refer clinical questions to pharmacists while maintaining HIPAA compliance.
  • Collaborate with healthcare teams to resolve medication-related issues and follow established pharmacy support workflows for first-contact resolution.

International SOS Government Medical Services provides healthcare, medical assistance, emergency response, and workforce support to improve patient care and operational readiness worldwide. Founded in 1984, the company operates in over 90 countries and supports government healthcare programs with a focus on veteran services.

US

  • Verifies patient insurance coverage and submits prior authorizations to insurance plans.
  • Troubleshoots prior authorization submissions and prescription processing with healthcare providers.
  • Documents activities and works with Customer Support team to ensure patient success.

PHIL is a health-tech startup pioneering the first Software Therapy Deployment Platform for Specialty Pharmaceuticals. The company employs over 120 individuals and expects to double its employee base in the coming year.

$86,663–$129,950/yr
US

  • Provide personalized onboarding and ongoing adherence support to patients and caregivers throughout their treatment journey.
  • Coordinate insurance coverage verification, reimbursement support, and financial assistance enrollment for eligible patients.
  • Serve as the primary point of contact for healthcare providers, resolving access barriers and ensuring seamless coordination with internal teams.

The partner company provides comprehensive non-clinical patient support for individuals managing rare and ultra-rare diseases. They foster a collaborative, patient-focused culture with a remote work environment and a commitment to improving healthcare access.

US

  • Serve as a key point of contact between patients, providers, pharmacies, and pharmacy benefit teams to coordinate alternative medication sourcing solutions.
  • Identify and validate appropriate sourcing options for non-covered, high-cost, specialty, or limited-distribution medications.
  • Assist with cost comparisons, savings analyses, reports, invoices, and documentation related to pharmacy sourcing activities.

The company helps patients navigate complex pharmacy solutions and alternative medication sourcing pathways. They are a mission-driven organization focused on patient-centered service.

  • Act as a trusted liaison between patients and healthcare providers, providing expert guidance on pharmacy benefits.
  • Own patient cases end-to-end, resolving coverage, prior authorization, and appeals issues.
  • Collaborate with stakeholders to ensure members navigate the healthcare system with confidence.

AffirmedRx is a pharmacy benefit management company on a mission to improve healthcare outcomes by bringing clarity, integrity, and trust to the industry. They are a mission-driven organization committed to patient-centered care and ethical practices.

US 4w PTO

  • Serve as a primary point of contact for patients through phone, email, and in-app messaging.
  • Partner with cross-functional teams to ensure coordinated support throughout the care journey.
  • Resolve non-clinical inquiries while delivering a positive, patient-centered experience.

Sunrise Group is building the future of sleep health by combining breakthrough technology with expert care. The company has grown from a single innovation into a complete sleep health company with an international team across the US, France, and Belgium, and values clarity, trust, collaboration, and compassion.

US

  • Prepare prior authorization requests by validating prescriber and member information and ensuring appropriate clinical guidelines.
  • Make outbound calls to providers to obtain additional clinical information for pharmacist review.
  • Review and analyze pharmacy claims data for proactive outreach and intervention.

Judi Health is an enterprise health technology company offering pharmacy benefit management and health benefit solutions for employers and health plans. They are a startup focused on rebuilding trust in healthcare in the U.S.

US

  • Handle patient inquiries via phone, email, and SMS, providing status updates and technical support.
  • Navigate multiple software systems and use a knowledgebase to resolve issues quickly.
  • Achieve performance metrics including CSAT scores and error rates within 90 days.

Phil is a health-tech startup that provides a patient support platform for prescription management. It is a fast-growing company with a remote-first culture.

United States

  • Provide courteous, professional assistance to patients via phone, email, and chat, addressing inquiries and troubleshooting issues.
  • Educate customers on Cadence technology features and benefits to maximize device usage.
  • Execute patient engagement and retention initiatives, document interactions, and escalate concerns to care teams.

Cadence is a clinical AI company automating the treatment of chronic disease. Serving over 100,000 patients with 20+ health system partnerships, it's a TIME Top 100 HealthTech and LinkedIn Top Startup.

US

  • Act as the clinical and administrative lead for Cooper 365, handling phone matters, patient check-in/out, and appointment scheduling.
  • Provide medical assistant support including vital screening, EHR maintenance, document scanning, and ensuring patient paperwork is completed.
  • Manage referrals, recertifications, prior authorizations, and escalate and resolve patient complaints independently.

Cooper University Health Care is a healthcare provider committed to delivering extraordinary care through clinical innovation and advanced technologies. It offers a comprehensive benefits program and opportunities for professional growth, positioning itself as a top employer in South Jersey.

US

  • Support the Care Advice Line call queue after hours, weekends, and holidays, answering calls promptly and accurately.
  • Triage and transfer calls to RNs, providers, or 911 as needed, while charting in EMR and maintaining patient communications.
  • Provide patient education, referrals, and scheduling assistance to support care coordination and proactive health management.

Privia Health is a technology-driven national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and physician leadership, focusing on reducing healthcare costs and improving outcomes.

$115,000–$135,000/yr
US 4w PTO 12w maternity 12w paternity

  • Counsel patients via telephonic outreach on medication adherence and make evidence-based recommendations.
  • Perform focused clinical chart reviews to inform patient interventions and document commitments.
  • Escalate complex cases to prescribers and meet performance goals such as STARs and HEDIS.

Aledade is a public benefit corporation dedicated to empowering independent primary care practices. Founded in 2014, it has become the largest network of independent primary care in the country, fostering a collaborative, inclusive, remote-first culture.

$21–$25/hr
US

  • Conducting first phone calls with new members to assess fit for Brightline services.
  • Scheduling appointments and ensuring member paperwork has been completed.
  • Supporting providers with administrative tasks and answering admin-related questions.

Brightline is a therapy and psychiatry practice delivering expert pediatric, teen, and parental mental health care to families and kids up to age 18. Founded in 2019, Brightline has delivered care to tens of thousands of families with industry-leading results and is backed by investors including Google Ventures and KKR.