Pharmacy Intake Specialist

2 weeks ago


Irvine, California, United States Jobot Full time
About the Role

We are seeking a highly skilled Pharmacy Intake Specialist to join our team at Jobot. As a Pharmacy Intake Specialist, you will play a critical role in ensuring seamless communication between patients, healthcare providers, and insurance companies.

Key Responsibilities
  • Communicate with Patients

Establish and maintain strong relationships with patients to obtain necessary information for prescription processing, benefits verification, and co-pay card applications.

Investigate and Verify Benefits

Thoroughly investigate and verify benefits for pharmacy and medical third-party claims, ensuring accurate and timely processing.

Obtain Prior Authorizations

Efficiently obtain prior authorizations from insurance carriers and other payers, tracking progress and expediting responses as needed.

Facilitate Appeals Process

Coordinate appeals between patients, physicians, and insurance companies, composing clinical appeals letters and ensuring accurate documentation.

Track and Report Service Issues

Monitor and report service issues arising from requests for authorizations, financial assistance, or other delays, ensuring patient access and timely resolution.

Complete Assessments and Patient Enrollment

Conduct assessments mandated by manufacturer contracts and facilitate patient enrollment with manufacturer Hubs as required.

Provide Financial Assistance

Communicate with patients to provide information on assistance programs and community resources, obtaining required information and submitting electronic applications on their behalf.

Document Case Activity

Accurately document case activity, communications, and correspondence in our computer system to ensure completeness and accuracy of patient contact records.

Requirements
  • Excellent communication and interpersonal skills
  • Strong analytical and problem-solving abilities
  • Ability to work in a fast-paced environment and prioritize multiple tasks
  • Knowledge of pharmacy benefits and insurance regulations
  • Experience in a similar role or relevant industry
What We Offer
  • Competitive compensation and bonus opportunities
  • 401k matching and employer-paid medical insurance
  • Life and disability insurance
  • PTO and holiday schedule


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