Patient Benefits Coordinator - Pharmacy

Oklahoma Arthritis Center - Edmond, OK

Full-time - Entry Level

Edmond, OK

Ambulatory Health Care Services

About the position

The Patient Benefits Coordinator at Oklahoma Arthritis Center plays a crucial role in the Pharmacy Financial Coordinator team, focusing on reviewing patient eligibility and benefits, obtaining necessary authorizations, and ensuring effective communication regarding patient medication needs. This position is essential for facilitating financial coordination for ancillary services and ensuring that patients receive their prescribed medications in a timely manner.

Responsibilities

• Verifies prescription benefits and eligibility.
• Submits prior authorizations for medications and follows up in a timely manner.
• Reprocesses insurance claims for medications as needed.
• Communicates with patients on authorization status, outcome, and any individual needs to obtain medication.
• Researches and follows PBM guidelines and policies.
• Resolves issues that inhibit patients from obtaining prescription medications ordered by their clinic provider.
• Answers phone calls and returns voicemails in a timely manner.
• Resolves assigned tasks in the Electronic Health Record.
• Adheres to compliance of OAC policies and standard operating procedures.
• Sets the standard for the team by providing excellent patient care.
• Offers other team members assistance as needed.
• Maintains open and positive lines of communication, and functionality.
• Understands and adheres to HIPAA laws and regulations in compliance and patient confidentiality.

Requirements

• 1-2 years of experience with pharmacy billing, insurance, prior authorizations, medical billing, or a related field preferred.
• 2+ years' experience as a Pharmacy Technician.
• High school diploma or equivalent.
• Current Pharmacy Technician certification and license - preferred.
• Specialty pharmacy experience - preferred.
• Computer Rx experience - a plus.
• EHR system experience.

Nice-to-haves

• Proficient in CoverMyMeds, EHR systems, and Microsoft Office.
• Specialty pharmacy experience.
• Computer Rx experience.