Bothwell Infusion and Procedure Center Auth Referral Specialist; 7:00am -3:30pm; 80 HRS

Bothwell Regional Health Center•Sedalia, MO

12d

About The Position

The Auth Referral Specialist for the Bothwell Infusion and Procedure Center answers calls to the center, schedules authorized Infusion and Procedure clinic appointments, and obtains and documents authorizations for the center and the outpatient employee pharmacy. The role receives orders for new patients who need infusion or injection medications and may assist the employee pharmacy with prior authorizations as needed, potentially daily. The position reports directly to the charge nurse/Director. The stated schedule is 7:00 a.m. to 3:30 p.m., with 80 hours indicated.

Requirements

Experience providing clinical information to insurance companies.
Experience answering phone calls.
Experience scheduling appointments.
Computer experience.
Retail pharmacy experience.
Ability to handle highly confidential information.
Ability to work with interruptions and multitask.

Nice To Haves

LPN education: graduate of an approved Practical School of Nursing.
Military Aerospace Medical Service experience equivalent to LPN.
Certification as a Pharmacy Technician.
Current Missouri State Board of Nursing licensure for an LPN.
Licensure as a Pharmacy Technician by the Missouri Board of Pharmacy.

Responsibilities

Receive faxed and emailed orders for new patients needing medications for infusion and injections.
Assist the employee pharmacy with prior authorizations as needed.
Review the Infusion and Procedure Center schedule, obtain required authorizations, and document them in ARM.
Note any additional information needed before an appointment in the patient account.
Work daily in the ARM work list for scheduled Infusion and Procedure Center services.
Verify insurance coverage and obtain pre-certification and authorization for outpatient and recurring accounts, as well as for the employee pharmacy.
Answer calls coming into the authorization desk.
Schedule Infusion and Procedure Center appointments.
Document actions taken on patient accounts in the Meditech system.
Perform other duties as assigned.