• Job Description

  Req#: R130010

  Department:

  38407 System Pharmacy - Medication Preservices

  Status:

  Full time

  Benefits Eligible:

  Yes

  Hou rs Per Week:

  40

  Schedule Details/Additional Information:

  Monday-Friday, 8:30am-5pm

  ***Pharmacy experience is highly preferred*****

  Schedule: Hours are 8:30-5pm Monday-Friday.Purpose:Responsible for the verification of pharmacy benefits for new and existing patients of Advocate Aurora Health. Collects and validates accurate patient demographic and insurance information obtains pre~certification/authorization as required and enters all necessary information into AAH System and refers patients to patient financial counseling as necessary.Accountabilities:Ability to complete insurance verification and eligibility checks.Ability to collect and accurately document initial pre-certification/authorization information if available. Initiates the process for obtaining a required referral/authorization if not obtained .Ability to work assigned Epic work queue following the department`s workflow process on appropriately transferring deferring or removing orders from the work queue.Ability to proactively communicate issues involving customer service and process improvement opportunities to management.Maintains excellent public relations with patients patient`s families and clinical staff as well as demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information.Maintains knowledge of and reference materials for Medicare Medicaid and third~party payer requirements guidelines and policies insurance plans requiring pre~authorization/referral and a list of current accepted insurance plans.Ability to update the patient physician`s office and any necessary parties through multiple methods as appropriate (including telephone in~basket messaging and electronic medical record) regarding responses and outcomes of the prior authorizations.Ability to act as a liaison between physician`s office patient and pharmacy benefit manager to initiate and resolve appeals as needed.Position Requirements:Education Required:High School Graduate.Experience Required:Typically requires 1 year of experience in health care insurance industry pharmacy or medical background.Knowledge S

  About Advocate Health

  Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

• About the company

  Advocate Aurora Health is a non-profit health care system with dual headquarters located in Milwaukee, Wisconsin

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