Prescription (RX) Coordinator

Description

Join Elica’s mission and become a part of a team where every day is an opportunity to make a positive impact in your community!

At Elica Health Centers, we share a common goal: provide the best possible patient care to our growing community! Our passion extends throughout Elica, from the exceptional healthcare services we provide to our underserved patients at our Community Health Clinics and state-of-the-art mobile medicine program, Health on Wheels, to our Resource Center where we empower patients and members of the community to connect with resources to help them build healthy and full lives.

WHAT YOU'LL DO:

Prescription RX Coordinator is a part of the larger Patient Service Center. They are responsible for preparation and processing referrals and prior authorizations for Prescription Refills and Durable Medical Equipment (DME) orders, according to patient benefits and appropriate contracted provider. The RX Refill Coordinator is also responsible for responding to patient calls via a call queue or patient messaging to help coordinate requests for medication or DME.

BENEFITS:

• Retirement Savings Made Easy: Enjoy a 403(b) retirement plan with up to 4% employer matching and 100% immediate vesting—start building your future from day one!
• Comprehensive Healthcare Options: Choose from two Anthem Blue Cross PPO plans for medical, plus dental and vision coverage for you and your family.
• Employer-Funded HRA: Our Health Reimbursement Arrangement helps cover out-of-pocket medical costs, giving you peace of mind.
• Flexible Spending Accounts: Take advantage of two FSA options: Health Care FSA and Dependent Care FSA, tailored to suit your needs.
• Security for the Unexpected: We provide company-paid basic Life and AD&D Insurance, with options to enhance coverage.
• Enhanced Protection: Explore additional benefits like Hospital Indemnity, Critical Illness, and Accident Insurance, plus ID Theft Protection and Pet Insurance.
• Time to Recharge: Enjoy accrued paid time off, paid holidays, and Employee Assistance Plan (EAP) access, which includes counseling, financial, and legal services, along with a vast library of online resources.
• Invest in Yourself: Benefit from our Tuition Reimbursement Program for ongoing education and growth, plus CME/CEU and license reimbursements for eligible roles.

This is more than just a benefits package—it’s a commitment to your health, well-being, and professional success!

Learn more about Elica’s services and mission at our website or check us out on Facebook.

Requirements

WHAT ARE WE LOOKING FOR?

The successful candidate will be willing and able to:

• Maintain ongoing tracking and appropriate documentation on referrals
• Ensure complete and accurate patient demographic and current insurance information
• Review details and expectations about referrals and/or prescription with patients
• Establish and maintain relationships with service providers
• Ensure that referrals are addressed in a timely manner
• Responsible for verifying eligibility and benefits through insurance companies including obtaining prior authorization
• Protects patient confidentiality, making sure protected health information is secured by not leaving PHI in plain sight and logging off the computer before leaving it unattended
• Answer phone calls prescription and referral related and offer assistance to ensure 1st call resolution
• Works as a liaison in between medical clinic and patient and sends messaging accordingly
• Interacts with patients, clinical providers and pharmacies to troubleshoot and resolve prescription refill issues and support patients as needed
• Responsible to notify manager of any issues or concerns from patient and/or provider
• Follow up on patient prescription or referral inquires not immediately resolved
• Assists as needed or directed with other department or business needs
• Legibly and accurately transcribes pharmacy refill requests into the medical records
• Supports Inbox Management for the Central Refill, Prior Authorization, and DME Pool
• Maintains strict patient confidentiality and goo