Pharmacy Intake Specialist

3 weeks ago


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

At Jobot, we're seeking a highly skilled Pharmacy Intake Representative to join our team. As a Pharmacy Intake Representative, you will play a critical role in ensuring seamless communication between patients, physicians, and insurance providers.

Key Responsibilities:
  • Communicate with patients to obtain necessary information for prescription processing, refills, and benefits verification.
  • Investigate and verify benefits for pharmacy and medical third-party claims, and communicate with financial assistance teams to secure financial assistance for patients.
  • Obtain prior authorizations, track progress, and expedite responses from insurance carriers and other payers.
  • Facilitate appeals processes between patients, physicians, and insurance companies, and compose clinical appeals letters based on specific denial reasons and patient clinical presentations.
  • Ensure all clinical information and documentation are obtained prior to appeal submission, and coordinate appointments with patient and physician offices.
  • Track, report, and escalate service issues arising from requests for authorizations, financial assistance, or other issues that delay service.
  • Complete assessments mandated by manufacturer contracts or operations, and facilitate patient enrollment with manufacturer Hubs when required.
  • Communicate with patients to provide information regarding assistance programs and community resources that provide required assistance.
  • Obtain required information and permission from patients, and submit electronic applications for financial assistance on their behalf.
  • Follow up with assistance providers to determine the status of applications, expedite consideration of requests, and advocate on behalf of patients.
  • Document case activity, communications, and correspondence in computer systems to ensure completeness and accuracy of patient contact records.
Requirements:
  • Excellent communication and interpersonal skills.
  • Ability to work in a fast-paced environment and prioritize multiple tasks.
  • Strong analytical and problem-solving skills.
  • Knowledge of pharmacy and medical terminology.
  • Ability to maintain confidentiality and handle sensitive information.

If you're a motivated and detail-oriented individual with a passion for delivering exceptional patient care, we encourage you to apply for this exciting opportunity.



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