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

Bothwell Regional Health Center•Sedalia, MO

13d•$17 - $30

About The Position

The Auth Referral Specialist is responsible for answering calls to the Infusion and Procedure Center, scheduling authorized Infusion and Procedure Center appointments, and obtaining and documenting authorizations for the center and the outpatient employee pharmacy. The role reports directly to the charge nurse/Director. The specialist receives orders for new patients needing infusion or injection medications, reviews schedules and work lists, verifies insurance coverage, and obtains pre-certifications and authorizations for outpatient and recurring accounts. Actions taken on patient accounts are documented in the Meditech system. The role may also assist the employee pharmacy with prior authorizations as needed.

Requirements

Experience providing clinical information to insurance companies.
Experience answering phone calls.
Experience scheduling appointments.
Computer experience.
Retail pharmacy experience.

Nice To Haves

Graduate of an approved Practical School of Nursing (LPN).
Military Aerospace Medical Service experience equivalent to LPN.
Certification as a Pharmacy Technician.
Current LPN licensure by the Missouri State Board of Nursing.
Licensed 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, potentially daily.
Review the Infusion and Procedure Center schedule, obtain authorizations when required, and record 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, including employee pharmacy accounts.
Answer calls to the authorization desk.
Schedule Infusion and Procedure Center appointments.
Document actions taken on patient accounts in the Meditech system.
Perform other duties as assigned.