Pharmacy Medical Pre-Authorization Coordinator (Newark)

Pharmacy Medical Pre-Authorization Coordination (Remote) needed for a contract opportunity with Yohs client located in Newark, CA!
Top Skills Should You Possess:

• Two (2) - four (4) years of similar experience pertaining to pharmacy prescriptions that require pre-authorization in a physician office-based setting.
• Ability to type a minimum of 30 wpm.
• Experience in healthcare or related setting preferred.
• Position is remote but Coordinator will be required to work in Newark office 1x per month

What Youll Be Doing:

• Responsible for confidentially reviewing medical records to confirm proper documentation is in the chart to support the pharmacy prescription
• Responsible for submitting detailed chart notes and other pertinent documentation to support the authorization request.
• Manages the EMR work queue pertaining to pharmacy prescriptions for new request submission and re-submission to the health plans.
• Must be capable of clear communication to all levels: Clinicians, Clinic and Finance Leadership, clinical team members and patients and Pharmacies.
• Communicates effectively with patients, providers and insurance companies regarding authorization status.
• Documentation - maintains accurate records of all interactions and documentation related to authorization requests
• Confirms active insurance is on file. May be responsible to obtain benefits as required or needed.
• Required to confirm if proper pharmacy benefit workflow is intact.
  Responsible for following deferred standard workflow to avoid patient care delays.
• Collaborate with area Lead and Manager to streamline processes.
• Communicates with use of created smart phrases for consistent messaging and/or messages in a courteous and professional manner in accordance with performance standards.
• Coordinates and Communicates with Clinics, Patients, Pharmacists and Health Plans
• M-F, 7:30a-4pm

What You Need to Bring to the Table:

• Two (2) - four (4) years of similar experience pertaining to pharmacy prescriptions that require pre-authorization in a physician office-based setting.
• Ability to type a minimum of 30 wpm.
• Experience in healthcare or related setting preferred.
• Medication knowledge.
• Ability to pivot as things change constantly.
• Pharmacy auth experience is highly preferred.

Whats In It For You?
We welcome you to be a part of the largest global staffing companies to meet your career aspirations. Yohs network of client companies has been employing professionals like you for over 65 years in the U.S., UK and Canada. Join Yohs extensive talent community that will provide you with access to Yohs vast network of opportunities.

• Medical, Dental & Vision Benefits
• 401K Retirement Saving Plan
• Life & Disability Insurance
• Direct Deposit & weekly EPayroll
• Employee Discount Programs
• Referral Bonus Programs

What are you waiting for? Apply Now!
Recruiter: Arlet Khachikyan
Yoh makes finding and applying for jobs simple. Partner with Yoh to find the right opportunities across multiple industries in the US and UK.
Estimated Min Rate: $28.00
Estimated Max Rate: $40.00
Whats In It for You?
We welcome you to be a part of the largest and legendary global staffing companies to meet your career aspirations. Yohs network of client companies has been employing professionals like you for over 65 years in the U.S., UK and Canada. Join Yohs extensive talent community that will provide you with access to Yohs vast network of opportunities and gain access to this exclusive opportunity available to you. Benefit eligibility is in accordance with applicable laws and client requirements. Benefits include:

• Medical, Prescription, Dental & Vision Benefits (for employees working 20+ hours per week)
• Health Savings Account (HSA) (for employees working 20+ hours per week)
• Life & Disability Insurance (for employees working 20+ hours per week)
• MetLife Voluntary Benefits
• Employee Assistance Program (EAP)
• 401K Retirement Savings Plan
• Direct Deposit & weekly epayroll
• Referral Bonus Programs
• Certification and training opportunities
  

Note: Any pay ranges displayed are estimations. Actual pay is determined by an applicant's experience, technical expertise, and other qualifications as listed in the job description. All qualified applicants are welcome to apply.
Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Visit to contact us if you are an individual with a disability and require accommodation in the application process.
For California applicants, qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. All of the material job duties described in this posting are job duties for which a criminal history may have a direct, adverse, and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.