Pharmacy Prior Authorization Agent

38528 Enterprise Pharmacy - Patient Assistance: Non Specialty

Full time

Yes

40

Remote position. Monday-Friday 8am-4:30pm or 8:30am-5pm CST.

Pay Range:

$22.90 - $36.15

Major Responsibilities:

• ​​​​​​​Complete insurance verification and eligibility checks. 
• Collect and accurately document initial pre-certification/authorization information if available. Initiates the process of obtaining a required referral/authorization if not obtained. 
• Work assigned Epic work queue, following the department’s workflow process on appropriately transferring, deferring, or removing orders from the work queue. 
• Proactively communicate issues involving customer service and process improvement opportunities to management. 
• Maintains excellent public relations with patients, patients’ families and clinical staff as well as demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information. 
• Maintains knowledge of and reference materials for Medicare, Medicaid and third-party payer requirements guidelines and policies, insurance <