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Prior Authorization Coordinator (Pharmacy)
Job description
About Medix!
Medix is dedicated to positively impacting lives every day. Since 2001, we have made it our mission to be the leading provider of workforce solutions for clients and candidates across the Healthcare, Scientific, and Information Technology industries.
Our dedicated recruiters are here to help you find and secure just the right opportunity. We take the time to learn about you, your skills, your interests, and your career goals, and then match you with the jobs and companies that best suit your needs. Whether you are looking for contract, contract-to-hire, or direct hire positions, we can help you to find the meaningful and gratifying work that you've been looking for. Let Medix be your partner as you move your career forward. Contact us today!
Detailed Company Overview: Healthcare technology company that builds products to make prescriptions accessible and affordable to everybody.
Role: Pharmacy Technicians with prior authorization & insurance verification experience
Location: onsite in Pittsburg, PA 15205 (NOT REMOTE)
Schedule: Shifts vary and schedule is made a month in advance. 8 hour shifts between the hours of 7:30a to 9:00p, They do rotate a Saturday shift (9a-5pm) and can expect to work one a month. They also rotate a "closing" shift once every two weeks. So their schedule will include a 12:30p-9p shift once every 2 weeks. **This is not negotiable**
Start Date: They run orientations every two weeks.
2023 Dates Remaining = 10/16, 10/30, 11/6, 11/13, 11/20, 12/4, 12/11, and 12/18.
Pay Rates: $19-$20. Hiring Managers will determine pay rate after interview.
Responsibilities:
- Assist in the initiation of new prior authorization requests to providers
- Identify the correct prior authorization form required for the patient's insurance provider
- Coordinate with prescribers and medical offices to ensure applicable information is translated onto prior authorization forms
- Follow up with medical offices to check the status of prior authorization requests
- Assist with communicating the status of prior authorizations to both patients and providers
- Coordinate with medical offices to handle Appeals
- Respond to internal questions from other departments related to prior authorization requests
- Perform patient outreach to conduct patient enrollment, benefits coordination, financial assistance assessment, insurance verification and arrange delivery
- Provide patient care to accurately support pharma programs and triage to a pharmacist when required
- Place outbound phone calls and receive inbound phone calls to resolve routine and new issues with patients, doctors and insurers
- Document all call information and data discovery according to operating procedures
- Research required information using available resources
- Maintain confidentiality of patient and proprietary information
- Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws
- Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering
Benefits: In order to be eligible for health benefits, you must be employed for 30 days and must average 30 hours per week over your first four weeks on assignment. If you become eligible and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).
As a contract employee with Medix, you can choose to enroll in our Benefits Program during your eligibility period and enjoy:
401(k) Retirement Plan (After 6+ months of service, during a 401k enrollment period)
Medical, dental and vision plans with The American Worker, as well as three Major Medical Plan options!
Prescription Programs
Short Term Disability Insurance
Term Life Insurance Plan
Compensation: Dependent upon experience
Apply Today!
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