Act as a financial advocate for patients regarding access to specialty prescription medications.
Secure authorization for medication through patient's prescription insurance.
Seek copay assistance options and free drug from manufacturer programs for uninsured patients.
Maintain productivity, quality, and customer service requirements.
Communicate prescription costs and insurance requirements effectively with patients.
Ensure appropriate billing of all specialty prescription medications and follow up on denials as necessary.
Document all activities within the electronic medical record per department policy.
Requirements
High School Graduate plus 3 years of experience in specialty pharmacy, medication assistance, prior authorizations, pharmacy benefits investigation, managed care, financial advising, claims processing, collections, or revenue cycle positions.
Associates Degree in a related field of study from an accredited college or university plus 1 year of experience in specialty pharmacy, medication assistance, prior authorizations, pharmacy benefits investigation, managed care, financial advising, claims processing, collections, or revenue cycle positions.
Must be able to type 45 wpm.
1 or more years of experience using Microsoft Word, Excel or a related computer program.