Pharmacy Infusion Care Prior Auth Specialist, System Infusion Pharmacy, FT 8a-4:30p
6 days ago
Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels our commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact - because when it comes to caring for people, we're all in. Description: Obtain prior authorization from payors. Route patient referrals to the appropriate department or individual(s). Establish and maintain accurate and complete patient records. Receive calls from new patients and referral sources and document all customer communications. Maintain a broad knowledge base concerning insurances, payor policies, and prescription medication in order to assist with the verification of insurance coverage for patients by obtaining all necessary information. Identifies patients who require authorization for all infusion services. Coordinates intake and authorizations for multiple sites as assigned. Qualifications: Degrees: Associates. Health Related Field, MA, or Registered Pharmacy Technician preferred. The Infusion Care Prior Authorization Specialist role requires critical thinking skills, effective communication, decisive judgement, and the ability to work with minimal supervision. The incumbent must be able to work in a fast-paced environment. The role requires payor medication authorization experience, as well as an understanding and knowledge of payer‘s requirements and expectations. Responsible for obtaining, coordinating, and processing information about new patients in a timely manner. Must have proficient computer skills including, EMR and electronic medical management system, outlook, and MS Word, Cerner/Soarian experience preferred. Education and training in medical terminology preferred. Minimum Required Experience: EOE, including disability/vets #J-18808-Ljbffr
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