Job Description

Summary:
Assists practice locations in completing patient refill requests and medication prior authorizations.

Responsibilities:
Completes refill requests in a timely and accurate manner according to protocols
Prepares prior authorization pharmacy requests from prescribers and patients
Researches resolves and documents prior authorization outcomes in the patient�s record
Communicates prior authorization outcomes to physicians physician's office staff patients and/or pharmacists
Escalates prior authorization requests to the appropriate pharmacist when the request requires extensive clinical review
Documents properly timely and accurately in the Electronic Medical Record (EMR)
Effectively communicates with other care teams as it relates to patient needs
Interacts with patients in an appropriate and professional manner
Complies with federal and local confidentiality laws including HIPAA ensuring patient privacy
Adheres to Coastal Medical guidelines and policies for protecting patients� demographic clinical and financial information
Performs other job-related duties as assigned

Other information:

Education and Experience

� High School Diploma or equivalent

� Rhode Island Pharmacy Tech II license

� National Certified Pharmacy Technician certification

� At least one year of prior experience

� Any combination of education and experience that is substantially equivalent is also acceptable

Knowledge Skills and Abilities

� Ability to use technology including an EMR and Microsoft Office including Word Excel and Outlook

� Maintains knowledge of most common insurance formularies

� Ability to perform basic mathematical calculations

� Ability to identify and escalate clinical concerns to appropriate care team member

� Must be able to multi-task and work in a fast-paced environment

� Excellent written and verbal communication interpersonal and prioritization skills

� Advanced listening skills

� Ability to work independently with minimal guidance

� Interacts with patients in an appropriate and professional manner

� Must be committed to providing superior customer service to all

� Must be flexible and receptive to change with the ability to learn quickly and retain new information

� Detail and process orientated with a focus on accuracy and efficiency

Physical Effort and Dexterity

� This role works primarily in a remote capacity and has daily communications through virtual meetings

� Sit and stand for prolonged periods of time

� Work and move among all departments of Coastal Medical group

� Excellent hand/eye coordination

� Lift up to 15 pounds

� Manual dexterity to operate a personal computer or laptop as well as standard office machines and equipment as it pertains to one�s position

� State-wide travel and operation of motor vehicle may be required for offsite meetings and trainings

� Must have a valid driver�s license and clear driving record

�Use of personal vehicle and proof of auto insurance is necessary

Visual Acuity Hearing and Speaking

� Capability to transfer information from original source to paper computer telephone and in person

Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.

Location: Coastal Medical USA:RI:Providence

Work Type: Full Time

Shift: Shift 1

Union: Non-Union

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