APLA Health’s mission is to achieve health care equity and promote well-being for the LGBT and other underserved communities and people living with and affected by HIV. We are a nonprofit, federally qualified health center serving more than 14,000 people annually. We provide 20 different services from 15 locations throughout Los Angeles County, including: medical, dental, and behavioral health care; PrEP counseling and management; health education and HIV prevention; and STD screening and treatment. For people living with HIV, we offer housing support; benefits counseling; home health care; and the Vance North Necessities of Life Program food pantries; among several other critically needed services. Additionally, we are leaders in advocating for policy and legislation that positively impacts the LGBT and HIV communities, provide capacity-building assistance to health departments across the country, and conduct community-based research on issues affecting the communities we serve. For more information, please visit us at aplahealth.org.
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We offer great benefits, competitive pay, and great working environment!
We offer:
• Medical Insurance
• Dental Insurance (no cost for employee)
• Vision Insurance (no cost for employee)
• Long Term Disability
• Group Term Life and AD&D Insurance
• Employee Assistance Program
• Flexible Spending Accounts
• 11 Paid Holidays
• 4 Personal Days
• 10 Vacation Days
• 12 Sick Days
• Metro reimbursement or free parking
• Employer Matched (6%) 403b Retirement Plan
This is a great opportunity to make a difference!
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This position will pay $25.60 - $28.82 hourly. Salary is commensurate with experience.
POSITION SUMMARY:
Under the direct supervision of the Director of Pharmacy, the Medication Coordinator I will process and track all request for refills, prior authorizations, and patient assistance program. The Medication Coordinator I will perform their duties within the established standards of care, policies and procedures of APLA Health & Wellness.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
• Obtain prior authorizations (PA) for medications
• Contact insurance carriers to verify medication eligibility and requirements
• Request, track and obtain prior authorizations from insurance carriers. Facilitate appeals as needed
• Request, and track medications requested via the patient assistance program
• Communicate any insurance changes or trends among the team. Provide updates to local,state, & federal benefits. Gather feedback as provided and relay to program leads
• Clearly document all communications and contacts with insurance companies, PBOs and pharmacies
• Stay up to date on all avenues of medication access for patients, including public benefits and programs that may serve as payers of last resort. Evaluate patient candidacy appropriately. Facilitate enrollment of qualifying patients, coordinating with other team members if necessary.
• Complete and manage forms/applications to process medications via the Patient Assistant Program, delegate as appropriate
• 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.
• Maintain working knowledge of in-house pharmacy software platform in order to readily acquire prescription claims information
• Perform data processing when working in pharmacy as typist or clerk.
• Participate in case conferences as needed
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.
• Minimum one year experience evaluating eligibility, including both commercial and public benefits.
• 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 in dependently 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/disability/ transgender/ veteran.
To Apply:
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=264164&clientkey=A5559163F67395E0A2585D2135F98806
