Pharmacy Intake Specialist
2 weeks ago
This position is hosted by Jobot.
About the Company:
Our client is a prominent provider in infusion therapy services, offering specialized care administered by trained infusion nurses. These services are available at various locations, including standalone facilities, physicians' offices, or directly in patients' homes. Each site is dedicated to delivering personalized care for treatments such as IVIG, Hemophilia, Chemotherapy, TPN, and Pain Management.
Benefits of Working Here:
- Competitive compensation
- Opportunities for bonus pay
- 401k matching program
- Comprehensive employer-paid medical insurance
- Life and Disability insurance coverage
- Paid Time Off and Holiday Schedule
Key Responsibilities:
- Engage with patients to gather necessary information for processing prescriptions, refills, and benefit access, while fostering long-term customer relationships.
- Verify and investigate benefits for pharmacy and medical claims, collaborating with financial assistance teams to secure support for patients.
- Manage prior authorization requests, ensuring all required information is submitted accurately and promptly, while keeping patients informed throughout the process.
- Facilitate the appeals process by coordinating communication between patients, physicians, and insurance companies, including drafting clinical appeal letters.
- Ensure all clinical documentation is collected prior to appeal submissions and coordinate necessary appointments with patients and physicians.
- Conduct follow-ups with insurance companies regarding prior authorization and appeal statuses, activating copay cards based on eligibility.
- Monitor and escalate service issues related to authorizations and financial assistance to ensure uninterrupted patient care.
- Complete required assessments and assist with patient enrollment in manufacturer programs when necessary.
- Inform patients about financial assistance options and community resources available to support their prescription needs.
- Submit electronic applications for financial assistance on behalf of patients, ensuring timely filing to prevent therapy interruptions.
- Track application statuses with assistance providers, advocating for patients and documenting all case activities accurately.
- Adhere to regulatory requirements and organizational standards to maintain high service quality and compliance.
For more information about this opportunity, please reach out.
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