Medication AuthorizationRefill Specialist
Medication AuthorizationRefill Specialist
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Salary Not Disclosed
1 Vacancy
Job Description
The Medication Authorization/Refill Specialist is responsible for obtaining insurance authorizations answering phones maintaining and updating health care records and performing data entry. Responsible for medication refills and medication prior authorizations including the required medical documentation to support those requests and additional duties as assigned. This position requires a highly organized professional with excellent customer service skills phone etiquette knowledge of Microsoft Office applications fax machines internet software and knowledge of the authorization process with the various insurance carriers. Applicant must also be familiar with the prescriptions refill process and have some working knowledge of medications
Advocare LLC is a partnership of the top doctors in New Jersey and Pennsylvania including pediatricians family practice doctors and specialists. As part of the team youll work sidebyside with forwardthinking professionals who strive to provide the highest quality medical care by meeting and exceeding standards for clinical outcomes while delivering exceptional patient service in an evolving healthcare environment.
If you would like to learn more about us please visit our website: Functions:
- Answers incoming telephone calls on a multiline telephone system in a professional manner.
Send all escripts to pharmacies for all providers.
Answer all prescription requests via refill line and fax.
Create new prescriptions when provider changes Rx due to denial or cost.
Order DME supplies Oxygen Auto CPaps Hospital beds wheelchairs and Diabetic Shoes.
Add or change ICD10 diagnosis codes rejected by insurances needing more specific coding.
Complete all Diabetic Medicare Forms for Diabetic Testing Supplies. Fax forms once completed by PCP for diabetic shoes. Include OV note from Podiatry.
Authorize all medication denials with prescription drug Insurance companies.
Authorize and order Prolia injections for osteoporosis and knee injections (Synvisc Synvisc One) that are private insurance EXCEPT Medicare. (Lolita orders these meds for Medicare patients).
Monitor E script change request for problems with clarifications denials out of stock on backordered prescriptions. Monitor failed prescriptions.
- Process insurance authorizations for medications perform prescription refills and update patient records.
- Data entry of medical records and patient information
Required Skills/Abilities:
- Excellent customer service skills.
- Effective verbal and written communication skills.
- Demonstrate professionalism confidentiality and diplomacy and can serve a wide range of employees and patients.
- Ability to establish and maintain effective working relationships with a diverse group of people at all levels of the organization.
- Commitment to excellence and high standards
- Detail oriented with strong followup initiative
- Versatility flexibility and a willingness to work within constantly changing priorities with enthusiasm.
- Good communication skills and the ability to work with others in a busy office environment.
- Ability to adjust to constantly changing demands and remain calm under pressure.
- Ability to fulfill large volume of requests with accuracy and efficiency to minimize delays and provide quality care.
Education and Experience:
- Experience with Microsoft Office (Word Excel Outlook and PowerPoint).
- One year of prior experience in a medical setting preferred
Required Experience:
Unclear Seniority
Employment Type
Full-Time
