Medication Pre-Authorization Specialist - Cascades East Clinic - FT DAYS

Sky Lakes Medical Center•Klamath Falls, OR

1d•Onsite

About The Position

This position is responsible for identifying and understanding various medication assistance programs, assisting patients with paperwork for enrollment forms, and managing the tracking and re-ordering of patient assistance medications. The specialist will also obtain pre-authorizations from insurance companies for prescribed medications, communicate with providers, insurance companies, and pharmacies, and document information in the EHR. Additionally, the role requires knowledge of insurance companies' preferred medication lists, handling telephone calls, maintaining competency, treating patients with respect, and performing basic office machine maintenance.

Requirements

Medium physical/mental capabilities required.
Must be able to work independently as well as with physicians, patients/family members and other co-workers.
Must be able to prioritize work demands and organize time efficiently.
Must be able to work with time constraints, high stress situations and perform multiple tasks.
Excellent problem solving skills required.
Strong organizational skills required.

Nice To Haves

Knowledge of operations of fax, copy machine, and other small business machines.
Bilingual and referral authorization, and Rx refill experience.

Responsibilities

Identify and have knowledge of various medication assistance programs.
Assist patients with paperwork by completing enrollment forms for various patient assistance programs.
Receive and track patient assistance medications and re-order medications as required.
Obtain pre-authorizations from insurance companies for medications prescribed and communicate with providers, insurance companies and pharmacies.
Document in the EHR.
Have knowledge of different insurance companies preferred medication lists.
Receive and route telephone calls to appropriate staff when necessary.
Maintain competency in all position responsibilities.
Treat patients with respect and courtesy.
Load copy/fax machine with printer paper; change toner and fix jams.
Performs other duties as assigned.