What are the responsibilities and job description for the Enhanced Benefits Coordinator position at 2310 AU Medical Center, Inc.?
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Work Shift
Day (United States of America)Job Summary:
The Enhanced Benefits Coordinator serves as the hub for prior authorizations associated with key service lines within the
medical center as well as health system clinics. This position will obtain and validate insurance and financial information,
obtain any required precertification and/or prior authorization for in office administered medications, and provide
benefits overviews to patient prior to treatment. This position is responsible for providing front line, direct contact with
patients, families, providers, nurses, social workers and pharmacies.
Core Responsibilities and Essential Functions:
Screens, processes, and completes prior authorization through medical benefits and pharmacy benefits.
Follows-up with patients, providers, and insurance plans on refills and reauthorizations, as required by
payers.
Processes infusion/injection appointments through AU Health IT platforms in an accurate manner.
Coordinates with Medication Assistance Coordinators for specialty medications filled through pharmacy
benefits or medications accessed through assistance programs. Coordinates shipping activities associated
with patients own medication to ensure accurate and timely medication delivery.
Collaborates with other members of the Pharmacy Department team for performance improvement,
customer service excellence, and quality assurance (teamwork).
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.
Required Minimum Education:
- High School Diploma General or GED General or Bachelors General-Preferred
Required Minimum License(s) and Certification(s):
All certifications are required upon hire unless otherwise stated.
- PHT - Registered Pharmacy Tech
Additional License(s) and Certification(s):
Required Minimum Experience:
Minimum 1 year Pharmacy Technician role or in enhanced benefits or similar role in medical
office/center, Pharmacy Required or
Minimum 2 years Pharmacy Technician role or in enhanced benefits or similar role in medical
office/center, Pharmacy Preferred
Required Minimum Skills:
communication skills, organizational skills, prioritization, time management.
Microsoft Office proficiency
Proficient with medical terminology
Experience with prior authorizations, insurance, claim adjudication and claim appeals.- Preferred
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