Pharmacy Infusion Care Prior Authorization Specialist, System Infusion Pharmacy Hub, FT, 8A-4:30P

Obtain prior authorization from payors. Route patient referrals to the appropriate department or individual(s). Establish and maintain accurate and complete patient records. Receive calls from new patients and referral sources and document all customer communications. Maintain a broad knowledge base concerning insurances, payor policies, and prescription medication in order to assist with the verification of insurance coverage for patients by obtaining all necessary information. Identifies patients who require authorization for all infusion services. Coordinates intake and authorizations for multiple sites as assigned. Identifies patients who require authorization for all infusion services. Coordinates intake and authorizations for multiple sites as assigned. Degrees:

• Associates.

Additional Qualifications:

• Health Related Field, MA, or Registered Pharmacy Technician preferred.
• The Infusion Care Prior Authorization Specialist role requires critical thinking skills, effective communication, decisive judgement, and the ability to work with minimal supervision.
• The incumbent must be able to work in a fast-paced environment.
• The role requires payor medication authorization experience, as well as an understanding and knowledge of payer's requirements and expectations.
• Responsible for obtaining, coordinating, and processing information about new patients in a timely manner.
• Must have proficient computer skills including, EMR and electronic medical management system, outlook, and MS word, Cerner/Soarian experience preferred.
• Education and training in medical terminology preferred.

Minimum Required Experience: 2 Years