PHARMACY PRIOR-AUTHORIZATION COORDINATOR I
Posted on: November 22, 2022
City/StateNorfolk, VAOverviewWork ShiftSwing Shift (United
States of America)Job SummaryUnder the direct supervision of a
Pharmacy Team Coordinator, the pharmacy prior authorization
coordinator (PAC) is responsible for supporting the Pharmacy
Department's day-to-day operations for the call center and prior
authorization cases for all lines of business (Medicaid, Medicare,
Exchange and Commercial). At a minimum, the PAC provides
knowledgeable and courteous customer service and response to
members and providers. This position handles member/provider
requests/inquiries regarding pharmacy benefits, prior
authorizations, or claim resolution. The PAC also uses the pharmacy
computer system to facilitate prior authorizations and participate
in patient/provider/customer care activities that do not require
the expertise of a pharmacist.
This position will be an internal resource interfacing with
members, providers, and internal departments' personnel to resolve
pharmacy claims and prior authorization issues.
The Pharmacy Prior Authorization Coordinator will be able to accept
ownership for effectively solving member or provider issues,
complaints, and inquiries, keeping member satisfaction at the core
of every decision and behavior.
1 year of Managed Care, Health Plan or PBM experience
1 year of Pharmacy Call Center or Authorization experience
State registration required based on location, VA or
NCQualifications:HS - High School Grad or EquivalentCertified
Pharmacy Technician (CPhT) - Other/National, NHA Pharmacy
Technician Certification (CPhT) - Other/National, Pharmacy
Technician Registration - Arkansas, Pharmacy Technician
Registration - North CarolinaCall Center, Managed Care, Pharmacy
TechnicianSkillsActive Learning, Active Listening, Communication,
Learning Strategies, Microsoft Office, Monitoring, Quality Control
Analysis, Reading Comprehension, Service Orientation, Time
ManagementSentara Healthcare prides itself on the diversity and
inclusiveness of its close to an almost 30,000-member workforce.
Diversity, inclusion, and belonging is a guiding principle of the
organization to ensure its workforce reflects the communities it
serves.Per Clinical Laboratory Improvement Amendments (CLIA), some
clinical environments require proof of education; these regulations
are posted at ecfr.gov for further information. In an effort to
expedite this verification requirement, we encourage you to upload
your diploma or transcript at time of application.
In support of our mission "to improve health every day," this is a
Keywords: Sentara, Norfolk , PHARMACY PRIOR-AUTHORIZATION COORDINATOR I, Other , Norfolk, Virginia
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