Enhanced Benefits Coordinator

Wellstar Health System • Magnolia, AR

1d • Onsite

About The Position

The Enhanced Benefits Coordinator serves as the hub for prior authorizations associated with key service lines within the medical center as well as health system clinics. This position will obtain and validate insurance and financial information, obtain any required precertification and/or prior authorization for in office administered medications, and provide benefits overviews to patient prior to treatment. This position is responsible for providing front line, direct contact with patients, families, providers, nurses, social workers and pharmacies.

Requirements

• High School Diploma General or GED General or Bachelors General
• All certifications are required upon hire unless otherwise stated.
• PHT - Registered Pharmacy Tech
• Minimum 1 year Pharmacy Technician role or in enhanced benefits or similar role in medical office/center, Pharmacy
• communication skills
• organizational skills
• prioritization
• time management.
• Microsoft Office proficiency
• Proficient with medical terminology

Nice To Haves

• Minimum 2 years Pharmacy Technician role or in enhanced benefits or similar role in medical office/center, Pharmacy
• Experience with prior authorizations, insurance, claim adjudication and claim appeals.

Responsibilities

• Screens, processes, and completes prior authorization through medical benefits and pharmacy benefits.
• Follows-up with patients, providers, and insurance plans on refills and reauthorizations, as required by payers.
• Processes infusion/injection appointments through AU Health IT platforms in an accurate manner.
• Coordinates with Medication Assistance Coordinators for specialty medications filled through pharmacy benefits or medications accessed through assistance programs.
• Coordinates shipping activities associated with patients own medication to ensure accurate and timely medication delivery.
• Collaborates with other members of the Pharmacy Department team for performance improvement, customer service excellence, and quality assurance (teamwork).
• Performs other duties as assigned
• Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Benefits

• support to do more meaningful work—and enjoy a more rewarding life
• Connect with the most integrated health system in Georgia, and start a future that gives you more.
• Nationally ranked and locally recognized for our high-quality care and inclusive culture
• personalized care for patients at every age and stage of life

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level