UofL Health
Medication Re-fill and Authorization Coordinator
UofL Health, Louisville, Kentucky, us, 40201
Overview:
JOB SUMMARYResponsible for evaluating and renewal of prescription refill requests following the established prescription renewal protocols and processes. Responsible for obtaining prior authorizations for prescriptions requiring prior authorization.Responsibilities:Responsible for completing refill medication request, from the pharmacy, patient or the physician, as per the refill protocol , including but not limited to, scheduling follow up appointment and notifying pharmacy and patients.Responsible for completing refill medication requests within 24 hours per patients with Commercial and Medicare insurances and begin prior authorization process for Specialty Pharmacies, request 30 day supply of medication while authorization is pending and notify the patient immediately.Responsible for completing new medication requests, as per Department of Medicine protocol in discussion with treating physician.Responsible for triaging patient calls pertaining to medication reactions appropriately and escalate to the physician or nurse practitioner. Following discussion with respective treating clinician, timely follow up with the patients with instructions or recommendations.Responsible for maintaining samples per JCAHO policies.Responsible for assuring that all practice operations are in compliance with JCAHO clinical standards (e.g. medications, Quality Assurance, charting, licensing, ect.)Maintain confidentiality and work with sensitive and confidential information using discretion and judgment.Responsible for reviewing and responding to emails in a timely manner.MINIMUM EDUCATION & EXPERIENCEActive Licensed Practical Nurse or Registered Nurse license requiredAbility to utilize insurance websites proficientlyAbility to communicate effectivelyAbility to anticipate and adapt to change positivelyMust possess solid customer service skillsStrong investigative and problem solving skillsExtensive knowledge of electronic medical records system.Qualifications:
Takes initiative and willingness to help outProactive-anticipates and plans for problems before they ariseService Excellence responsive, informs constituents of process, pleasant to work with, educates and provides timely, accurate informationOrganized manages time effectively, keeps tasks appropriately prioritizedFlexible-ability to change direction as needed for the good of the DepartmentCritical thinking skills-ability to think through issues and identify appropriate optionsStrong work ethic-motivated, diligent and persistent, stays on tasks to completion, works at a fast pace to ensure optimal efficiencyInterpersonal can build effective, strong working relationships with employees, colleagues, management, consultants, and media through trust, communication, and credibilityTeam ability to work with others, serve others, help others, lead others, mentor others, take directions from others in the interest of moving process and programs forward to the desired outcomeEmotional Intelligence ability to not take issues personal, see the big picture in emotionally charged situations and respond in a mature, professional, composed mannerSelf-Awareness ability to reflect, understand limitations, and seek appropriate assistance and guidanceJudgment exercises discretion and due diligence when making decisions and recommendationsQuality is able to perform work in a neat, efficient, well-coordinated, well communicated manner with a high degree of accuracy and professionalismWORKING CONDITIONSOffice environment-sitting, computer use, walking, lifting, phone use, etc.
JOB SUMMARYResponsible for evaluating and renewal of prescription refill requests following the established prescription renewal protocols and processes. Responsible for obtaining prior authorizations for prescriptions requiring prior authorization.Responsibilities:Responsible for completing refill medication request, from the pharmacy, patient or the physician, as per the refill protocol , including but not limited to, scheduling follow up appointment and notifying pharmacy and patients.Responsible for completing refill medication requests within 24 hours per patients with Commercial and Medicare insurances and begin prior authorization process for Specialty Pharmacies, request 30 day supply of medication while authorization is pending and notify the patient immediately.Responsible for completing new medication requests, as per Department of Medicine protocol in discussion with treating physician.Responsible for triaging patient calls pertaining to medication reactions appropriately and escalate to the physician or nurse practitioner. Following discussion with respective treating clinician, timely follow up with the patients with instructions or recommendations.Responsible for maintaining samples per JCAHO policies.Responsible for assuring that all practice operations are in compliance with JCAHO clinical standards (e.g. medications, Quality Assurance, charting, licensing, ect.)Maintain confidentiality and work with sensitive and confidential information using discretion and judgment.Responsible for reviewing and responding to emails in a timely manner.MINIMUM EDUCATION & EXPERIENCEActive Licensed Practical Nurse or Registered Nurse license requiredAbility to utilize insurance websites proficientlyAbility to communicate effectivelyAbility to anticipate and adapt to change positivelyMust possess solid customer service skillsStrong investigative and problem solving skillsExtensive knowledge of electronic medical records system.Qualifications:
Takes initiative and willingness to help outProactive-anticipates and plans for problems before they ariseService Excellence responsive, informs constituents of process, pleasant to work with, educates and provides timely, accurate informationOrganized manages time effectively, keeps tasks appropriately prioritizedFlexible-ability to change direction as needed for the good of the DepartmentCritical thinking skills-ability to think through issues and identify appropriate optionsStrong work ethic-motivated, diligent and persistent, stays on tasks to completion, works at a fast pace to ensure optimal efficiencyInterpersonal can build effective, strong working relationships with employees, colleagues, management, consultants, and media through trust, communication, and credibilityTeam ability to work with others, serve others, help others, lead others, mentor others, take directions from others in the interest of moving process and programs forward to the desired outcomeEmotional Intelligence ability to not take issues personal, see the big picture in emotionally charged situations and respond in a mature, professional, composed mannerSelf-Awareness ability to reflect, understand limitations, and seek appropriate assistance and guidanceJudgment exercises discretion and due diligence when making decisions and recommendationsQuality is able to perform work in a neat, efficient, well-coordinated, well communicated manner with a high degree of accuracy and professionalismWORKING CONDITIONSOffice environment-sitting, computer use, walking, lifting, phone use, etc.