Referral Coordinator (CPhT)
About The Position
At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care. CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission. The Referral Coordinator gathers and communicates all relative information and preparation instructions to patient and referring providers. The Referral Coordinator will obtain prior authorizations, complete benefit requests and process pre-certs.
Requirements
- 2yrs+ of relevant experience required
- Must obtain Pharmacy Technician License w/in 90 days of start date
- Strong customer service and communication skills are required
- Ability to multitask in a high demand environment is required
- Provide the highest level of professionalism, responsiveness, and communication in order to build and maintain the maximum customer base possible.
- Must possess the ability to multi-task and frequently change direction.
Nice To Haves
- Specialty Home infusion experience preferred (IVIG / SCIG / Biologics) but not required
- General knowledge/experience with pharmacy payors and medical payors is preferred
Responsibilities
- Coordinates the authorization and pre-cert process for each assigned referral.
- Follows up on referrals receipt
- Processes referrals for requested services, ensuring timely and thorough completion.
- Monitors referral request for completeness and takes appropriate steps to review, request and obtain additional information when requested services are incomplete or inconsistent with scope of service.
- Provides accurate data entry of referral or authorization information into the electronic medical record.
- Sends complete information to patient’s insurance (when applicable) and referring specialist to coordinate referral.
- Handles telephone calls in a friendly, courteous, and sensitive manner.
- Interacts collaboratively with clinical staff, sales team, and insurance team.
- Ensures referral is completed according to the department guidelines and within the appropriate timeframe.
- Makes outreach efforts to insurances, patients, specialist offices and care team as set forth by department guidelines and clinical priorities.
- Complies with all company policies, instructions, and directives for the fulfillment of company objectives and maximum profitable sales.
- Completes and submits all required reports in a timely manner.
- Maintains current files and other records in accordance with company instructions and requirements.
- Provides high quality services to the home-care patient and the home-care referral source.
- Consistently represents the company in a professional manner.
- Maintains effective working relationships and cooperates with all personnel in the company.
- Adheres to the company’s compliance requirements as stated in the policy and procedure manual and all other related policies.
- Performs other duties and responsibilities as assigned.
Benefits
- drug screen prior to employment
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
