Pharmacy Intake Coordinator Expert
3 days ago
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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