Enhanced Benefits Coordinator Augusta
Wellstar
- AU Medical Center, Inc.
- 1+ years
- Bachelor's degree
- Posted
This job is closed: the employer no longer lists it.
Skills
Required
- Microsoft Office
- medical terminology
Preferred
- prior authorizations
- claim adjudication
- claim appeals
About Wellstar
- How would you like to work in a place where your contributions and ideas are valued?
- A place where you can serve with compassion, pursue excellence and honor every voice?
- At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve.
- We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
- Join us and discover the support to do more meaningful work—and enjoy a more rewarding life.
- Connect with the most integrated health system in Georgia, and start a future that gives you more.
Responsibilities
- 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.
- 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 WMCG 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.
- Collaborates with other members of the Pharmacy Department team for performance improvement, customer service excellence, and quality assurance (teamwork).
- Performs other duties as assigned Complies with all Wellstar Health System policies, standards of work, and code of conduct.
Requirements
- High School Diploma / GED General
- All certifications are required upon hire unless otherwise stated.
PHT - Registered Pharmacy Tech
- Minimum 1 year Pharmacy Technician role or in enhanced benefits or similar role in medical office/center, Pharmacy
- communication skills, organizational skills, prioritization, time management.
- Microsoft Office proficiency
- Proficient with medical terminology
Preferred
Bachelors General-Preferred
- Minimum 2 years Pharmacy Technician role or in enhanced benefits or similar role in medical office/center, Pharmacy preferred
- Experience with prior authorizations, insurance, claim adjudication and claim appeals.- Preferred
Work Shift
Various (United States of America)