Enhanced Benefits Coordinator WMCG
Wellstar Health Systems

Job Info

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Facility: Wellstar MCG Health
Job Summary:
The Enhanced Benefits Coordinator serves as the hub for prior authorizations associated with key service lines within the medical center as well as health system clinics. This position will obtain and validate insurance and financial information, obtain any required precertification and/or prior authorization for in office administered medications, and provide benefits overviews to patient prior to treatment. This position is responsible for providing front line, direct contact with patients, families, providers, nurses, social workers and pharmacies.

Core Responsibilities and Essential Functions:
Screens, processes, and completes prior authorization through medical benefits and pharmacy benefits.

Follows-up with patients, providers, and insurance plans on refills and reauthorizations, as required by payers.

Processes infusion/injection appointments through AU Health IT platforms in an accurate manner.

Coordinates with Medication Assistance Coordinators for specialty medications filled through pharmacy benefits or medications accessed through assistance programs. Coordinates shipping activities associated with patients own medication to ensure accurate and timely medication delivery.

Collborates with other members of the Pharmacy Department team for performance improvement, customer service excellence, and quality assurance (teamwork).

Other duties as assigned.

Required Minimum Education:
1 years or more of experience in Pharmacy Technician role or in enhanced benefits or similar role in medical office/center, Pharmacy

Prefered:

2 years or more of experience in Pharmacy Technician role or in enhanced benefits or similar role in medical office/center, Pharmacy

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.

• Cert Pharmacy Tech
• Cert Pharmacy Tech

Additional License(s) and Certification(s):
CPhT (Certified Pharmacy Technician) acquired from PTCB or NHA

GA or SC Pharmacy Technician license, depending on job location

Required Minimum Skills:
Strong communication skills, organizational skills, prioritization, time management.

• Microsoft Office proficiency

• Proficient with medical terminology

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