Pharmacy Intake Coordinator Expert

3 days ago


Orange, California, United States BMR Partners Inc. Full time
About the Role

We are seeking an experienced Pharmacy Intake Coordinator to join our team at BMR Partners Inc. in a dynamic and fast-paced environment.

Job Description:

The successful candidate will be responsible for communicating with patients to obtain information required to process prescriptions, refills, access benefits, and apply charges against co-pay cards. They will also investigate and verify insurance benefits and eligibility for pharmacy and medical third-party claims for assigned cases.

Key Responsibilities:

  • Obtain prior authorizations; initiate requests, track progress, and expedite responses from insurance carriers and other payers.
  • Facilitate appeals processes between the patient, physician, and insurance company.
  • Complete status checks with insurance companies regarding receipt/outcome of prior authorization and appeal.
  • Notify patients when their prescription has been transferred and follow up with specialty pharmacies.
  • Document case activity, communications, and correspondence in computer systems.

Requirements:

  • High School Diploma or GED
  • Able to read medical charts
  • 1 year of proven work experience in a healthcare setting
  • Previous intake experience preferred but not required
  • Superior telephone customer service skills
  • Healthcare experience with a basic understanding of clinical terms and benefits investigation

Benefits:

  • $62,000 - $80,000 per annum, based on location and experience
  • 401(k)
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Paid time off
  • Vision insurance

Physical Requirements:

This role requires frequent sitting and the ability to communicate effectively through talking and listening. Occasionally, standing, walking, and using hands to operate objects, tools, or controls may be required.



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