Prior Authorization Coordinator
Company: Summus Healthcare
Posted on: September 24, 2022
Summus Healthcare and North Texas Diabetes and Endocrinology are
adding a Prior Authorization Coordinator to our growing team. The
PA Coordinator will support our patients by managing the medication
prior authorization process to minimize delays, ensure clear
communication with the patient and their doctor, and maintain high
standards in processing time and accuracy.
--- Initiate and coordinate prior authorization requests in the
automated prior authorization system
--- Effectively utilize the EMR, as well as online authorization
sites for medication programs, i.e., CoverMyMeds
--- Act as a liaison between the Clinical Department and members,
providers, pharmacies, and internal departments and respond to
inquiries regarding the status of prior authorization requests.
--- Assist with reporting requests and summarize program statistics
--- Copy, fax, and mail documents and information as requested by
the insurance carrier.
--- Establish and maintain effective working relationships with
patients, providers, team members, insurance companies, and the
--- Fulfill organizational responsibilities as assigned, which may
include but are not limited to respecting and promoting patients'
rights, responding appropriately to emergency situations, and
sharing problems relating to patients and/or staff with the manager
in a timely manner.
--- Provide safe patient-centered, compassionate, and competent
--- 2 or more years of experience in medication prior
authorizations, as a pharmacy technician, or in an endocrinology
--- An up-to-date knowledge of medications
--- Ability to perform work accurately and thoroughly
--- Ability to communicate effectively verbally and in writing
--- Proficient ability to use a computer and electronic medical
--- Maintain patient, team member, and employer confidentiality.
Comply with all HIPAA regulations
--- Ability to handle more than one task at the same time
--- Reliability is a must
Summus Healthcare manages primary care and specialty clinics
throughout North Texas. We believe in providing patients with
premier care and supporting our employees with training, mentoring,
and development opportunities.
Keywords: Summus Healthcare, Denton , Prior Authorization Coordinator, Other , Denton, Texas
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