- Communicate with patients to obtain information required to process prescriptions, refills, access benefits and apply charges against co-pay cards.
- Investigate and verify insurance benefits and eligibility for pharmacy and medical third-party claims for assigned cases.
- Obtain prior authorizations; initiate requests, track progress, and expedite responses from insurance carriers and other payers, and maintain contact with customers to keep them continuously informed.
- Review for accuracy of prescribed treatment regimen prior to submission of authorization
- Facilitate appeals process between the patient, physician, and insurance company; compose clinical appeals letters based of specific denial reason and patient's clinical presentation and coordinate appointment of representative document.
- Complete status check with insurance company regarding receipt/outcome of prior authorization and appeal; obtain approval information and activates copay cards based of eligibility and specific drug prescribed.
- Track, report and escalate service issues arising from requests for authorizations, financial assistance or other issues that delay service.
- Notify patients when their prescription has been transferred and follow up with specialty pharmacy to confirm the prescription was received (in some jurisdictions)
- Coordinate verbal transfer by a pharmacist if specialty pharmacy has no record of prescription (in some jurisdictions); confirm with patient that prescription was received from alternate specialty pharmacy.
- Complete a series of assessments mandated by either manufacturer contracts or operations and facilitate patient enrollment with manufacturer Hubs when required.
- Document case activity, communications, and correspondence in computer system to ensure completeness and accuracy of patient contact records.
- Ensure that work activities are conducted in compliance with regulatory requirements and the organization defined standards and procedures, and in a manner that provides the best available level of service and quality.
- Perform or assist with any operations, as required to maintain workflow and to meet business needs.
- Must be able to perform the essential job functions of this position with or without reasonable accommodation.
- Participate in any variety of meetings and work groups to integrate activities, communicate issues, obtain approvals, resolve problems, and maintain specified level of knowledge pertaining to new developments, requirements, and policies.
- Report any misconduct, suspicious or unethical activities to the Compliance Officer
- Participate in surveys conducted by authorized inspection agencies.
- Participate in the pharmacy's Performance Improvement program as requested by the Performance Improvement Coordinator
- Participate in pharmacy committees when requested.
- Participate in in-service education programs provided by the pharmacy.
- Perform other related duties as assigned by supervisor.
- High School Diploma or GED
- Able to read medical charts.
- 1 year of proven work experience in a healthcare
- Previous intake experience preferred but not required.
- Superior telephone customer service skills.
- Healthcare experience with a basic understanding of clinical terms and benefits investigation preferred.
- Previous experience in a call center preferred where there is familiarity with metrics and a high level of accuracy and touches.
- Strong organization skills as well as attention to detail.
- Excellent knowledge of insurance benefit investigation process and techniques.
- Demonstrated ability to manage a range of priorities and meet time commitments.
- Excellent data management software skills with demonstrated adaptability to internal systems.
- Demonstrated strength in listening, oral and written communications in English.
- Pharmacy Technician Certification preferred but not required.
- Any additional training in pharmacy/medical benefit access and requirements, preferred but not required.
- CareTend experience preferred, but not required.
- 401(k)
- Dental insurance
- Flexible spending account
- Health insurance
- Paid time off
- Vision insurance
-
Norman S. Wright Climatec Mechanical Equipment is seeking an Intake Coordinator to support estimating and sales teams. · Receive, review, and log incoming RFQs into Acumatica and/or company CRM. · ...
Anaheim, CA1 week ago
-
· Full-time · Description · Roles and Responsibilities · Communicate with patients to obtain information required to process prescriptions, refills, access benefits and apply charges against co-pay cards. · Investigate and verify insurance benefits and eligibility for pharmacy a ...
Orange, CA4 days ago
-
· Full-time · Description · Roles and Responsibilities · Communicate with patients to obtain information required to process prescriptions, refills, access benefits and apply charges against co-pay cards. · Investigate and verify insurance benefits and eligibility for pharmacy a ...
Orange, CA4 days ago
-
The Intake Coordinator/Office Administrative Assistant plays a critical role in supporting agency operations by managing intake activities for individuals referred by the Regional Center while also providing essential administrative and office support. · Essential Job Functions · ...
Huntington Beach, CA1 month ago
-
Overview · CareConnectMD DCE is a specialized High Needs Direct Contracting Entity (DCE) geared towards medically complex Medicare beneficiaries who reside in nursing homes, assisted living facilities, board and care facilities and at home. The comprehensive program provides a ca ...
Costa Mesa, California, United States $48,000 - $72,000 (USD) per year1 week ago
-
Full Time experienced Intake Coordinator sought for hospice care admissions process. · Patient Assessment: Conduct initial assessments to determine eligibility for hospice services. · ...
Santa Ana, CA1 month ago
-
Provides support to the Cohen Clinic as the first contact for services. Conducts telephone and face to face intake screens on-site, via telehealth, and off-site (if applicable) for veterans, military, and their families. · ...
Torrance $68,000 - $80,000 (USD) Full time1 month ago
-
The Intake Coordinator at JWCH Institute plays a crucial role in ensuring a smooth admission process for individuals accessing harm reduction services. · ...
Los Angeles3 weeks ago
-
We pride ourselves on providing compassionate and client-focused service, and we are looking for a driven and detail-oriented Intake Coordinator to join our team. · Answer incoming calls and respond to web inquiries from potential clients in a timely and professional manner · Col ...
Los Angeles1 month ago
-
We are seeking a compassionate capable and caring Full-Time Intake Coordinator to join our team at our corporate office in Long Beach. · ...
Long Beach Full time1 month ago
-
Location: Outpatient Treatment Program in Millbury MA Schedule: Monday Friday 7:30am -4 :00pm Pay rate: $20 .70-23 .97 / hour The Intake Coordinator is responsible for Responding to and handling all incoming calls to the Intake Department in both a timely and professional manner ...
Baldwin Park $20.70 - $23.97 (USD) Full time1 month ago
-
+We are now hiring an On-call Intake Coordinator to be the newest member of our awesome team. · Are you ready to contribute to a team, committed to excellent customer service and dedicated to each individual's unique talent? · +Serves as the primary liaison between patients, and ...
Los Angeles $25 - $28 (USD)1 week ago
-
Description · Intake Coordinator · Based in Los Angeles, BD&J is California's leading personal injury law firm, having recovered over $2 billion for our clients. We pride ourselves on providing compassionate and client-focused service, and we are looking for a driven and detail-o ...
SANTA MONICA BLVD LOS ANGELES, California, United States $40,000 - $60,000 (USD) per year4 days ago
-
We're looking for a high-integrity Intake Coordinator who thrives in a fast-paced environment and understands the importance of precision, professionalism, and compassion—especially when serving individuals with Intellectual and Developmental Disabilities (IDD) and those seeking ...
Robbinsville Township1 week ago
-
+We are seeking a highly detail-oriented Intake Coordinator to join an Am Law 100 Firm in Los Angeles. · +Set up and maintain master records for clients and matters within internal systemsReview engagement letters and fee arrangements to ensure rates and provisions are accurately ...
Los Angeles1 week ago
-
We are now hiring an Intake Coordinator to be the newest member of our awesome team. · You will ensure compliance with regulations, coordinate care, and facilitate a smooth, compassionate admission process for patients receiving home-based services. · You will receive and review ...
Los Angeles, CA $48,000 - $72,000 (USD) per year1 week ago
-
We are urgently seeking a motivated and detail-oriented Intake Coordinator to join our mobile wound care company. · This is an entry-level, · full-time,in-office position ideal for someone with a positive attitude who thrives · in a fast-paced.team-oriented environment supporting ...
Upland, CA1 month ago
-
We are looking for a driven and detail-oriented Intake Coordinator to join our team. · ...
Los Angeles, CA1 month ago
-
Provides support to the Cohen Clinic as the first contact for services. Conducts telephone and face-to-face intake screens on-site, via telehealth, and off-site for veterans, military, and their families. · ...
Los Angeles, CA1 month ago
-
We are seeking a driven and personable Intake Coordinator to join our growing team. This position is ideal for someone with strong interpersonal and persuasive communication skills who can build rapport with potential clients. · ...
Pasadena, CA1 month ago
-
The Morning Intake Coordinator is responsible for initiating the daily intake workflow, · scheduling client meet-and-greets, and ensuring a smooth transition for clients into services.Log all new referrals in the intake tracker or CRM system. · Schedule intake meetings with famil ...
Hamilton Township $48,000 - $72,000 (USD) per year1 week ago
Pharmacy Intake Coordinator - Orange - BMR Partners Inc
2 days ago
Description
Job Type
Full-time
Description
Roles and Responsibilities
Employees in this role must meet certain physical demands to perform the essential functions effectively. Reasonable accommodations will be provided for individuals with disabilities to ensure they can perform these functions. This position involves frequent sitting and requires the ability to communicate effectively through talking and listening. Occasionally, the role requires standing, walking, and using hands to operate objects, tools, or controls. The employee may also need to reach with arms and engage in physical activities such as bending, kneeling, or crouching. Regularly, the employee must lift and move items weighing up to 20 pounds, with occasional lifting of items up to 50 pounds. Visual requirements include the ability to focus, as well as maintain peripheral vision and depth perception.
EEO Statement
We are committed to fostering a diverse and inclusive workplace. As an Equal Employment Opportunity (EEO) employer, we ensure that all employment decisions are based on merit, qualifications, and business needs. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status. We provide a work environment free from discrimination and harassment, and we celebrate diversity by creating an inclusive environment for all employees.
Salary Description
$24.00 - $30.00 per hour DOE
-
Intake Coordinator
Only for registered members Anaheim, CA
-
Pharmacy Intake Coordinator
Only for registered members Orange, CA
-
Pharmacy Intake Coordinator
Only for registered members Orange, CA
-
Intake Coordinator
Only for registered members Huntington Beach, CA
-
Intake Coordinator
Only for registered members Costa Mesa, California, United States
-
Experienced Intake Coordinator Hospice
Only for registered members Santa Ana, CA
-
Intake Coordinator
Full time Only for registered members Torrance
-
Intake Coordinator
Only for registered members Los Angeles
-
Intake Coordinator
Only for registered members Los Angeles
-
Intake Coordinator
Full time Only for registered members Long Beach
-
Intake Coordinator
Full time Only for registered members Baldwin Park
-
Intake Coordinator
Only for registered members Los Angeles
-
Intake Coordinator
Only for registered members SANTA MONICA BLVD LOS ANGELES, California, United States
-
Intake Coordinator
Only for registered members Robbinsville Township
-
Intake Coordinator
Only for registered members Los Angeles
-
Intake Coordinator
Only for registered members Los Angeles, CA
-
Intake Coordinator
Only for registered members Upland, CA
-
Intake Coordinator
Only for registered members Los Angeles, CA
-
Intake Coordinator
Only for registered members Los Angeles, CA
-
Intake Coordinator
Only for registered members Pasadena, CA
-
Intake Coordinator
Only for registered members Hamilton Township