Indexes documents into an electronic workflow and storage system with drug name(s), indication(s) and prescriber information.
Assesses and renders decisions on select requests for special authorization according to established guidelines based on drug(s) requested and medical condition(s).
Determines and interprets appropriate system entry and correspondence required.
Enters information on Alberta Blue Cross computer systems regarding requests for special authorization in order to enable appropriate claims adjudication.
Prepares and proofreads correspondence related to Special Authorization.
Handles inquiries from internal and external customers.
Assists with other duties and projects as required.
Requirements
Post secondary education in a health or related administrative program (i.e. Medical Office Administration certificate or diploma, Pharmacy Assistant, Pharmacy Technician) or directly related experience.
Excellent written and verbal communication skills
Strong organizational skills
Must be accurate and pay close attention to detail
Computer proficiency, particularly with Microsoft Office (i.e. Word, Excel, and preferably Access and SharePoint/Teams)
Must be customer-oriented and a strong team player
Strong analytical and decision-making skills
Demonstrated ability to manage time effectively and work with minimum supervision in a team environment
Demonstrated ability to meet challenges of heavy workloads and frequent change
Knowledge of drug names is required
Familiarity with medical terminology would be an asset.