CSI Health is one of the fastest growing Healthcare Staffing firms in the United States. We specialize in placing true healthcare professionals into direct hire and contract assignments. We pride ourselves on how hard will we work for you. Our dedicated and experienced team of healthcare recruiters is available any time to assist you with your career choice. You will have a dedicated recruiter whose only concern is advancing your career. We pride ourselves on our competitive urgency, thoroughness and personal touch. Working with us allows you the ability to seek out dream jobs- flexible hours, challenging environments and top pay!
Qualified candidates should be an advocate for patient care, a preceptor for their peers and leaders in the community. Our staff will match your skills and experience with numerous opportunities with our ever-growing client base. We put your needs first: settings, schedule, great benefits, opportunity for rapid growth or a great place to call home. Please give us a call today to begin working with a team that truly cares about your professional career.
PRIOR AUTHORIZATION COORDINATOR
This position facilitates the prior authorization or therapeutic interchange process by coordinating with physicians and facility teammates to ensure that forms are completed and received before prescriptions are filled and that all applicable laws, regulations and company policies related to prescription fulfillment are met.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive.
***Contact insurance companies as required to obtain insurance company preference between Therapeutic Interchange or Prior Authorization; which will be best and most cost efficient for the patient
***Research and resolve prescription adjudication rejections to ensure patients receive medications within established patient service standards
***Prioritize orders in rejection queues; work each order timely and accurately to ensure patient service standards are met
***Contact patients as necessary regarding delays in receiving medication(s)
***Document all actions taken on each order in Note-card system to ensure the current status of each order
***Answer calls received in the insurance phone queues professionally and within established standards
***Maintain accurate and current information as required in spreadsheets for tracking and quality assurance purposes
***Work proactively and positively with teammates to ensure all orders are received and processed timely and accurately each day
***Maintain strict confidentiality of patient information in accordance with HIPAA and company policies
***Work overtime with little or no notice as needed
MINIMUM QUALIFICATIONS:
***(Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required):
***High school diploma or equivalent required
***Minimum of 1 year’s experience as a Pharmacy Technician required; experience in retail or specialty pharmacy preferred
***Prior experience using RxExpress strongly preferred
***Demonstrated knowledge of Medicare Part D, Medicaid and commercial payors
***Intermediate computer skills and proficiency in Microsoft Office suite including Word, Excel, Outlook required
Salary will range from $14.00 to $15.00 an hour pending experience.