Medication Access Specialist; COT; Ophthalmology Appt Tech Hub

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Work Arrangement:

Requisition Number: 275958

Regular or Temporary:
Regular

Location:

Durham, NC, US, 27710

Date:
Oct 8, 2026

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 comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.

$5000 Commitment Bonus for qualifying candidates!

Ophthalmology Appt Tech Hub - Remote Position

We are seeking a 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.

• 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 elevate 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.

• 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 have BLS Certification.

Preferred candidates will demonstrate the following knowledge, skill, and abilities:

• Knowledge of ophthalmic terminology, eye diseases, ocular emergencies, ophthalmic medications, and treatment protocols.
• Ability to assess patient symptoms, recognize urgent and emergent ophthalmic conditions, and appropriately prioritize care using established clinical guidelines.
• Strong critical thinking and clinical decision-making skills with the ability to independently evaluate patient concerns and determine appropriate disposition and escalation.
• Excellent verbal and written communication skills, with the ability to communicate clearly, professionally, and compassionately with patients,…