We are committed to Building Better Together and consistently working to support your physical and financial health, emotional and social health, and personal and professional needs. As a Patient Care Coordinator, you will be the first point of contact and establish the caring relationship with our new patients. Join our team where you can make a meaningful impact on the health and well-being of our community while enjoying work-life balance. This is a full-time position, working Monday - Friday from 8:30am -5:30pm.
Duties and Responsibilities:
Greeting patients warmly, answer questions about prescriptions, and provide general support by phone.Answer phone calls and respond to inquiries regarding products, services, and pharmacy operations.Make every attempt for timely patient contact to obtain or confirm the patient’s demographic information, verify insurance coverage and answer patients’ questions about the fulfillment process. Anticipate customer needs and resolve issues quickly by finding forward thinking solutions and determining what can be done to fulfill a request.Support the approval process as needed for patients’ primary insurance, worker’s compensation or Prescription Assistance Programs to determine the best solution for each prescription.Effectively communicate patients’ payment terms and provide options to fulfill each patient’s specific needs in order to keep their drugs costs as low as possible.Guide and educate callers on their prescription benefits, use of plan, formulary, premiums and status of orders and claims or inquiriesUnderstand the complex needs of patients and answer patient questions regarding topics such as pricing, shipping, or delivery devices with patience and empathy. Act as a liaison and resource to physicians, customers, the pharmacy team and community.Qualifications:
Must pass a background check and drug screening. No pending felony charges or convictions for criminal offenses involving controlled substances.High school diploma or equivalent; background in healthcare or pharmacy is preferred Excellent time management skills and ability to multi-task and prioritize work.Attention to detail with a high level of accuracy in data entry and record-keeping.Excellent written and verbal communication skills.Ability to work well in a team environment.Prior experience in a customer service environment or healthcare settingReliable and punctual with a strong work ethic.Adaptable and capable of working efficiently in a fast-paced environment. Read LessJob Overview
The Prior Authorization Technician plays a crucial role in managing complex prescription needs by ensuring the timely and accurate processing of prior authorizations. This role involves working closely with patients, insurance carriers, prescribers, and internal departments to facilitate medication approvals, minimize out-of-pocket costs for patients, and ensure prescriptions are processed efficiently. This is a full-time position, Monday through Friday from 8:30am - 5:30pm.
Professional Arts Pharmacy is dedicated to advocating patient access to specialty prescriptions. Our technicians interact with insurance companies, patients, and internal partners to ensure the processing of specialty medications while maintaining compliance with all applicable regulations and providing superior customer service.
Responsibilities and Duties
Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed.Follow prior authorization workflow and policies and procedures.Collaborate with other departments to assist in obtaining prior authorizations.Review accuracy and completeness of information requested and ensure that all supporting documents are present.Receive requests for prior authorizations and ensure that they are properly and closely monitored.Process referrals and submit clinical supporting documentation to insurance carriers to expedite prior authorization processes.Manage correspondence with insurance companies, physicians and patients as required.Look through denials and submit appeals if requested by physician to get them approved from insurance companies.Document all prior authorization information including approval dates, prior authorization number in patient profile.Proactively work on prior authorizations that are due to be expired.Secure patients’ demographics and medical information by using great discretion and ensuring that all procedures are in sync with HIPAA compliance and regulations.Qualifications
High school diploma or GED equivalent required.Active Pharmacy Technician License in the State of Louisiana requiredNot on the DEA Excluded Parties ListMust pass background check and drug screening. No pending felony charges or convictions for criminal offenses involving controlled substances.Previous Experience in Pharmacy or Medical office with Prior Authorizations desiredSkills
Handling patient information with accuracy and confidentiality.Excellent time management skills and ability to multi-task, prioritize work and meet deadlines.Attention to detail and problem-solving skills.Excellent written and verbal communication skills.Ability to work well in a team environment and independently.Knowledge of medical terminology (including sig codes and Roman numeral), brand and generic names of medications and general pharmacy terminology is preferredIntermediate typing/keyboarding skills with a high level of accuracy in data entry and record-keepingReliable, punctual, and adaptable in a fast-paced environment.