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Description

• Responsible for confidentially reviewing medical records to confirm proper documentation is in the chart to support the pharmacy prescription • Responsible for submitting detailed chart notes and other pertinent documentation to support the authorization request. • Manages the EMR work queue pertaining to pharmacy prescriptions for new request submission and re-submission to the health plans. • Must be capable of clear communication to all levels: Clinicians, Clinic and Finance Leadership, clinical team members and patients and Pharmacies. • Communicates effectively with patients, providers and insurance companies regarding authorization status. • Documentation - maintains accurate records of all interactions and documentation related to authorization requests • Confirms active insurance is on file. May be responsible to obtain benefits as required or needed. • Required to confirm if proper pharmacy benefit workflow is intact. • Responsible for following deferred standard workflow to avoid patient care delays. • Collaborate with area Lead and Manager to streamline processes. Communication Procedures: Communicates with use of created smart phrases for consistent messaging and/or messages in a courteous and professional manner in accordance with performance standards. • Coordinates and Communicates with Clinics, Patients, Pharmacists and Health Plans. Electronic Health Record Documentation: • Accesses EHR to communicate to clinical staff members and/or physicians through referral in-basket message, pools or telephone encounters using SBAR format and/or appropriate smart phrases in accordance with performance standards. • Manages EHR in-basket(s), referral work queues in accordance with performance standards. • All other duties as assigned including department-specific functions and responsibilities: • Performs other duties as assigned and participates in organization projects as assigned. • Adheres to safety, P4P’s (if applicable), HIPAA and compliance policies. • Provides orientation and training to new staff as assigned.

Skills

Prior authorization, Medical, Retail pharmacy, Data entry, Health care, Medical terminology, Customer service, Administrative skills

Top Skills Details

Prior authorization,Medical,Retail pharmacy,Data entry

Additional Skills & Qualifications

Required Knowledge, Skills, and Abilities: • Strong verbal/written communication and listening skills; including excellent interpersonal skills and telephone communication. • Legible handwriting. • Ability to maintain composure during challenging interpersonal interactions. • Basic math skills are necessary to collect payments and balance cash drawers. • Basic computer skills to include keyboarding, mouse movement and data entry skills to enter information into practice management system and EHR. • Ability to effectively organize and prioritize tasks in order to complete assignments within the time allotted and maintain standard workflow. • Ability to work with others in a flexible, cooperative manner. • Nice to have skills: medication authorization knowledge

Experience Level

Intermediate Level

Pay and Benefits

The pay range for this position is $28.00 - $41.50/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Aug 13, 2025.

About Aston Carter:

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email [email protected] (%[email protected]) for other accommodation options.