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PHARMACY TECHNICIAN - PRE AUTHORIZATIONS at Alivia Health

, Puerto Rico, United States -

Full Time

Start Date

Immediate

Expiry Date

08 Jan, 26

Salary

0.0

Posted On

10 Oct, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Insurance Coordination, Prior Authorization, Patient Eligibility, Benefit Coordination, Documentation, Communication, Problem Solving, Attention to Detail, Time Management, Co-Payment Structure, Patient Assistance Programs, Follow-Up, Production Standards, Insurance Coverage, Health Plans

Industry

Health and Human Services

Description

In general, a Pre-Authorization Coordinator will be responsible for the following tasks: * Gather ALL necessary information and supporting documents to comply with MCO requests in order to promptly determine treatment Authorization or Denial. * Contact insurance companies or other payers to complete prior authorization requirements, identify the co- payment structure and investigate coverage and benefits; * Communicating with patients to inform co-pay/deductible amount. and informing about Alivia’s Patient * Assistance Programs (PAP). Referring to PAP, as appropriate. * Conduct benefit coordination on behalf of patients, when applicable * Determine patient eligibility * Request authorization modifications, as needed. * Index documents in patients’ records in a timely manner * Respond to incoming calls with excellent customer service standards and following up with pending tasks (internal or external); * Meet management’s production standards, whether quantitative or qualitative Minimum requirements: * Associate Degree Diploma with valid license as Pharmacy Technician is required. * Minimum 1-year experience in customer service with knowledge of access processes to the most preferred benefits. * Experience working with pre authorization processes or health plans is preferred. **EEOC F/M/D/V***

Responsibilities

The Pre-Authorization Coordinator is responsible for gathering necessary information and documents for treatment authorization or denial. This includes contacting insurance companies, communicating with patients, and ensuring timely documentation in patient records.