Pharmacy Intake Representative

1 week ago


Irvine, California, United States Jobot Full time
Pharmacy Intake Representative Job Summary

This role is an excellent opportunity to join a leading infusion therapy services provider, where you will play a crucial part in delivering exceptional patient care and building strong relationships with customers.

About the Company

Our client has established itself as a leader in infusion therapy services, providing individualized care in a private setting for procedures including IVIG, Hemophilia, Chemotherapy, TPN, and Pain Management.

Key Responsibilities
  • Communicate with patients to obtain information required to process prescriptions, refills, access benefits, and build trusted and enduring customer relationships.
  • Investigate and verify benefits for pharmacy and medical third-party claims for assigned cases.
  • Obtain prior authorizations, initiate requests, follow up to provide additional required information, track progress, and expedite responses from insurance carriers and other payers.
  • Review for accuracy of prescribed treatment regimen prior to submission of authorization.
  • Facilitate appeals process between the patient, physician, and insurance company.
  • Compose clinical appeals letters based on specific denial reason and patients' clinical presentation.
  • Ensure all clinical information and documentation are obtained prior to appeal submission.
  • Track, report, and escalate service issues arising from requests for authorizations, financial assistance, or other issues that delay service.
  • Complete a series of assessments mandated by either manufacturer contracts or operations.
  • Receive notification of patients in need of financial assistance to cover the cost of their prescriptions.
  • Communicate with patients to provide information regarding assistance programs and community resources that provide the required assistance.
  • Document case activity, communications, and correspondence in computer system to ensure completeness and accuracy of patient contact records.
What We Offer
  • Competitive pay
  • Bonus pay opportunities
  • 401k matching
  • 100% employer-paid medical insurance
  • Life and Disability insurance
  • PTO and Holiday Schedule

At Jobot, we are committed to providing exceptional patient care and building strong relationships with customers. If you are a motivated and detail-oriented individual who is passionate about delivering high-quality patient care, we encourage you to apply for this exciting opportunity.



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