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Medication Authorization Coordinator
2 months ago
Position Summary: HarborX Pharmacy is in search of a meticulous and knowledgeable Medication Authorization Coordinator. The successful candidate will possess a robust understanding of pharmacy procedures, medication authorization protocols, and outstanding communication abilities. In this role, you will be essential in facilitating prompt approvals for patient medications, managing insurance criteria, and working closely with healthcare professionals to enhance patient care.
Key Responsibilities:
- Assess medication authorization requests for thoroughness and precision.
- Engage with healthcare providers, insurance representatives, and patients to collect essential data for authorization submissions.
- Confirm insurance coverage and identify authorization prerequisites.
- Prepare and submit authorization documentation in accordance with insurance policies and standards.
- Monitor authorization requests to guarantee swift approvals and address any complications or denials.
- Keep detailed records of authorization activities and results.
- Collaborate with pharmacists, doctors, and other healthcare personnel to enhance medication management and patient results.
- Remain informed about updates in insurance regulations and authorization protocols.
Required Qualifications:
- High school diploma or equivalent; Bachelor's degree is advantageous.
- A minimum of 2 years of experience as a Medication Authorization Coordinator in a pharmacy or healthcare environment.
- Comprehensive knowledge of pharmacy operations, medication terminology, and insurance practices.
- Experience with electronic health records (EHR) and pharmacy management software.
- Exceptional communication and interpersonal skills.
- Capability to work both independently and as part of a team in a dynamic setting.
- Strong attention to detail and excellent organizational skills.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
Preferred Qualifications:
- Certification as a Pharmacy Technician (CPhT) or a similar qualification.
- Experience with medication authorization software systems.
- Understanding of Medicare, Medicaid, and various commercial insurance plans.
Benefits:
- Competitive salary based on experience.
- Paid time off and holiday compensation.
- Professional development opportunities.
