Prior Authorization Clerk I

MedImpact•Tempe, AZ

2d•Onsite

About The Position

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! This position is not eligible for Sponsorship.

Requirements

GED/HS Diploma and 1+ year experience or equivalent combination of education and experience
Intermediate knowledge of MS Office/Word, Excel, and Outlook and aptitude for new programs.
Experience with Windows based database programs is also required.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
Ability to deal with problems involving a few concrete variables in standardized situations.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Ability to read and comprehend simple instructions, short correspondence, and memos.
Ability to write simple correspondence.
Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customers or employees of organization.
Composure
Decision Quality
Organizational Agility
Problem Solving
Customer Focus
Drive for Results
Peer Relations
Time Management
Dealing with Ambiguity
Learning on the Fly
Political Savvy

Nice To Haves

Current Pharmacy Technician License, Pharmacy Technician Trainee License or National Pharmacy Certification preferred

Responsibilities

Data entry of incoming MRFs as required.
Dispense MRF to appropriate PA Coordinator using established department policy and procedures in a timely manner or as needed.
Fax verification and research to ensure accuracy of fax transmissions to complete cases out of the failed fax queue.
Work cases out of the PA Unable to Mail queue as needed.
Initiate PA letter print in Medreponse out of the Manual Print queue.
Attend and participate in monthly staff meetings.
Mentor and train PA Clerks and PACs on data entry, failed faxes, manual prints, and other team related tasks as an extension of support to facilitate team growth.
Accountable for QA of others’ work and make recommendations for RTL, coaching and training.
Handle complex research issues, assist with managing the workload by running/creating reports, provide task instructions and monitoring priorities for the PA Clerk Team.
Act as a subject matter expert in process improvement and system enhancement activities pertaining to the scope of the PA Clerk role.
This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written).
Manage difficult or emotional client situations.
Respond promptly to client needs.
Solicit client feedback to improve service.
Respond to requests for service and assistance from clients.
Meet commitments to clients.