Pharmacy Prior Authorization Agent-Specialty

Job description

Department: 38527 Enterprise Pharmacy - Patient Assistance: Specialty Status: Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Pay Range $22.90 - $34.35 Major Responsibilities: - ​​​​​​​Complete insurance verification and eligibility checks. - Collect and accurately document initial pre-certification/authorization information if available. Initiates the process of obtaining a required referral/authorization if not obtained. - Work assigned Epic work queue, following the department’s workflow process on appropriately transferring, deferring, or removing orders from the work queue. - Proactively communicate issues involving customer service and process improvement opportunities to management. - Maintains excellent public relations with patients, patients’ families and clinical staff as well as demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information. - Maintains knowledge of and reference materials for Medicare, Medicaid and third-party payer requirements guidelines and policies, insurance plans requiring pre-authorization/referral and a list of current accepted insurance plans. - Update t...