Prior Authorization Coordinator

Company: Summus Healthcare
Location: Lake Dallas
Posted on: September 24, 2022

Job Description:

Summus Healthcare and North Texas Diabetes and Endocrinology are adding a Prior Authorization Coordinator to our growing team. The PA Coordinator will support our patients by managing the medication prior authorization process to minimize delays, ensure clear communication with the patient and their doctor, and maintain high standards in processing time and accuracy.

Responsibilities:
--- Initiate and coordinate prior authorization requests in the automated prior authorization system
--- Effectively utilize the EMR, as well as online authorization sites for medication programs, i.e., CoverMyMeds
--- Act as a liaison between the Clinical Department and members, providers, pharmacies, and internal departments and respond to inquiries regarding the status of prior authorization requests.
--- Assist with reporting requests and summarize program statistics as needed.
--- Copy, fax, and mail documents and information as requested by the insurance carrier.
--- Establish and maintain effective working relationships with patients, providers, team members, insurance companies, and the public.
--- Fulfill organizational responsibilities as assigned, which may include but are not limited to respecting and promoting patients' rights, responding appropriately to emergency situations, and sharing problems relating to patients and/or staff with the manager in a timely manner.
--- Provide safe patient-centered, compassionate, and competent care

Qualifications:
--- 2 or more years of experience in medication prior authorizations, as a pharmacy technician, or in an endocrinology practice
--- An up-to-date knowledge of medications
--- Ability to perform work accurately and thoroughly
--- Ability to communicate effectively verbally and in writing
--- Proficient ability to use a computer and electronic medical record
--- Maintain patient, team member, and employer confidentiality. Comply with all HIPAA regulations
--- Ability to handle more than one task at the same time
--- Reliability is a must

About Company:
Summus Healthcare manages primary care and specialty clinics throughout North Texas. We believe in providing patients with premier care and supporting our employees with training, mentoring, and development opportunities.

Keywords: Summus Healthcare, Dallas , Prior Authorization Coordinator, Other , Lake Dallas, Texas