Job Summary
Responsible for prescription authorization to support prescribing of medications for insured patients. Provides customer service while collaborating with providers, pharmacy, nursing and internal team members for any questions or issues related to the prescription authorization. Responsible for submitting, processing and ensuring authorization is resolved by following payor rules and guidelines. Updates all benefits in Epic to ensure appropriate billing and reimbursement for services when necessary.
Minimum Qualifications
School Education: High School Diploma or GED
Degrees: Associate's Degree or 2 years of college preferred
Licenses and Certification: Pharmacy Technician; Texas State Board of Pharmacy
Work Experience: Three (3) years work experience with Prescription/Pharmacy authorization (Epic software a plus) with progressive customer service experience
Language Skills: Spanish preferred
Communication Skills: Above Average Verbal Communication (Heavy Public Contact), Writing/Correspondence, Writing/Reports
Proficiencies: MS Excel, MS Word, Personal Computer
Job Attributes
Knowledge/Skills/Abilities: Analytical, Mathematics, Medical Terminology
Work Schedule: Weekdays
Equipment Operated: Must have PC skills, knowledge of computerized patient accounting/registration and eligibility systems, and facsimile operation.
Other Requirements: Able to work efficiently with little supervision, handle stressful situations and have excellent customer service skills. Must be able to interact
successfully in a culturally diverse environment.