Pharmacy Technician MCC Prior Authorization and Infusion
Pharmacy Technician MCC Prior Authorization and Infusion
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Salary Not Disclosed
1 Vacancy
Job Description
About the Medication Care Coordination Team
The Medication Care Coordination (MCC) team is a centralized pharmacy team that works closely with insurance companies treatment providers clinical and administrative staff across a variety of care settings to coordinate effective care delivery and revenue cycle integrity for patients receiving infusion services across Corewell Health. MCC team members complete patient benefit investigation prior authorizations (PA) and navigate coverage complexities including medical necessity requirements site of care restrictions and authorization denials/appeals.
Scope of Work
- Pull transcribe and organize clinical information from patient charts into third party platforms or navigators.
- Complete authorization requests in a timely and efficient manor without compromising quality to ensure patients receive their care as scheduled.
- Demonstrate the ability to utilize all payer websites to assist verifying patients coordination of benefits and authorization requirements.
- Organize and track data for multiple payer programs and service lines.
- Communicate positively and effectively with patients colleagues and clinic staff.
- Adhere to all department procedures guidelines and standard work with the ability to utilize resources appropriately.
- Strong Proficiency in Microsoft Applications such as MS Word Excel Outlook Teams and OneNote.
- Epic Proficiency is a very strong Plus.
Qualifications
- Required High School Diploma or equivalent
- Preferred Associates Degree
- 1 year of relevant experience Retail or Ambulatory Pharmacy Experience Preferred
- 1 year of relevant experience Prior Authorization Experience or Insurance Navigation Preferred
- 1 year of relevant experience Epic Experience Preferred
- LIC-Pharmacist Intern - STATEMI State of Michigan Upon Hire required Or
- LIC-Pharmacy Technician Temp - STATEMI State of Michigan Upon Hire required And
- LIC-Pharmacy Technician - STATEMI State of Michigan 90 Days required
- CRT-Pharmacy Technician Certified (CPHT) - PTCB Pharmacy Technician Certification Board Excludes - LIC - Pharmacist Intern 90 Days required Or
- CRT-Exam for the Certification of Pharmacy Technicians (ExCPT) - NHA National Healthcareer Association Excludes - LIC - Pharmacist Intern 90 Days required
- Ideal candidate will possess both Full Pharmacy Technician License and National Certification such as CPhT from PTCB and ExCPT from NHA
- Ideal candidate will also possess 1 years of Retail Pharmacy experience and preferably 1 years of Prior Authorization Experience or Insurance Navigation experience
- This position will require Strong Proficiency in Microsoft Applications such as MS Word Excel Outlook Teams and OneNote
- Epic Proficiency would be a very strong Plus
How Corewell Health cares for you
Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you like restaurants phone plans spas and more!
Optional identity theft protection home and auto insurance pet insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status
Primary Location
SITE - 1810 Wealthy St SE - Grand RapidsDepartment Name
Corporate Admin - Medication Care CoordinationEmployment Type
Full timeShift
Day (United States of America)Weekly Scheduled Hours
40Hours of Work
7:30 a.m. to 5:30 p.m.Days Worked
Monday to FridayWeekend Frequency
N/ACURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drug-free workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.
An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
Required Experience:
IC
Employment Type
Full-Time
