At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Duke Health Integrated Practice Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina. JOB LOCATION Ophthalmology Appt Tech Hub – Remote Position ** Candidate must reside in North Carolina or have plans to relocate to North Carolina. At this time, working outside of North Carolina is not allowed for non-exempt staff. ** JOB SUMMARY We are seeking a Part-Time Medication Access Specialist Ophthalmic Technician, Certified to manage a high-volume, interruption-sensitive caseload across multiple ophthalmology subspecialties and locations. The role determines the true medication barrier, gathers and evaluates supporting information, completes payer requirements, coordinates next steps, and follows each request to a documented resolution. Success requires sound judgment, careful attention to detail, comfort with changing payer rules, and the ability to communicate clearly with both clinical and non-clinical partners. JOB DUTIES AND RESPONSIBILITIES Review requests from Epic In Basket, electronic PA tools, patient calls, MyChart, refill/RxChange messages, fax, clinics, staff assistants, email, and real-time messaging. Validate the medication, prescriber, indication, pharmacy, benefit, urgency, and requested action. Differentiate PA, formulary, step-therapy, quantity, tier, refill, claim-processing, specialty-pharmacy, documentation, and affordability barriers. Research plan-specific criteria and preferred submission routes. Prepare and submit accurate requests; retrieve and interpret determinations; respond to deficiencies; coordinate reconsiderations and appeals; track deadlines; and escalate clinical documentation needs. Review diagnoses, notes, medication history, prior trials, contraindications, allergies, treatment response, and discrepancies. Obtain prescriber clarification without independently making treatment decisions. Communicate status and next steps; clarify claim details, brand/NDC, quantity, day supply, refill timing, and specialty routing; verify whether approval results in a payable and affordable prescription. Screen for manufacturer copay programs, patient assistance programs, direct-to-consumer options, Medicare Extra Help, specialty pathways, and appropriate cash alternatives. Maintain concise, complete Epic documentation; process determination letters; update case status; close the loop with responsible parties; and support workload/outcome reporting. JOB ELIGIBILITY REQUIREMENTS Work requires completion of Ophthalmic Technician training and certification as a certified Ophthalmic Technician by the Joint Commission on Allied Health Personnel in Ophthalmology JCAHPO. Must
