Massachusetts General Physicians’ Organization
Medication Authorization Coordinator/ Boston
Massachusetts General Physicians’ Organization, Boston, Massachusetts, us, 02298
MGH Gastroenterology has an opening for a Medication Prior Authorization Specialist. The Medication Prior Authorization Specialist is responsible for obtaining all medication prior authorizations.
Ensure you read the information regarding this opportunity thoroughly before making an application.Responsibilities include:Downloading PA requests and entering them into
CoverMyMeds .Tracking all appropriate patient and pharmaceutical information to ensure accuracy.Resulting out the PA, documenting, and following up on all open PAs not escalated to management.Communicating effectively with providers and office staff through email and phone calls regarding any issues with the PA process and/or individual patients, such as incomplete information, answering status questions, denials, etc.Calling pharmacy, patients, and insurances when needed to successfully complete PAs.Determining which PAs require escalation or further assistance from management.Completing all necessary training for EHR systems in EPIC.Possessing a working knowledge of pharmacy processes.Assisting clinical and administrative teammates within the clinic.Maintaining a positive attitude and willingness to learn, take direction, ask questions, express needs, and communicate effectively with all staff.Minimum Qualifications:High school diploma or Associates in Science in combination with 2-3 years’ experience working with health insurance or in a healthcare setting is essential.Outstanding customer service, written and verbal communication skills are mandatory.Ability to prioritize and handle multiple tasks, producing high-quality work in a timely, accurate, and efficient manner is required.Proficiency in the use of computers and basic software applications is necessary.Ability to be flexible and work within a team-focused, participative management framework is required.Medication Prior Authorization experience preferred.Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives, and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.Primary Location MGH Main CampusJob Administrative SupportOrganization Massachusetts General Hospital (MGH)Schedule Full-timeStandard Hours: 40Shift Day JobEmployee Status RegularRecruiting Department: MGH Gastrointestinal Unit
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Ensure you read the information regarding this opportunity thoroughly before making an application.Responsibilities include:Downloading PA requests and entering them into
CoverMyMeds .Tracking all appropriate patient and pharmaceutical information to ensure accuracy.Resulting out the PA, documenting, and following up on all open PAs not escalated to management.Communicating effectively with providers and office staff through email and phone calls regarding any issues with the PA process and/or individual patients, such as incomplete information, answering status questions, denials, etc.Calling pharmacy, patients, and insurances when needed to successfully complete PAs.Determining which PAs require escalation or further assistance from management.Completing all necessary training for EHR systems in EPIC.Possessing a working knowledge of pharmacy processes.Assisting clinical and administrative teammates within the clinic.Maintaining a positive attitude and willingness to learn, take direction, ask questions, express needs, and communicate effectively with all staff.Minimum Qualifications:High school diploma or Associates in Science in combination with 2-3 years’ experience working with health insurance or in a healthcare setting is essential.Outstanding customer service, written and verbal communication skills are mandatory.Ability to prioritize and handle multiple tasks, producing high-quality work in a timely, accurate, and efficient manner is required.Proficiency in the use of computers and basic software applications is necessary.Ability to be flexible and work within a team-focused, participative management framework is required.Medication Prior Authorization experience preferred.Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives, and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.Primary Location MGH Main CampusJob Administrative SupportOrganization Massachusetts General Hospital (MGH)Schedule Full-timeStandard Hours: 40Shift Day JobEmployee Status RegularRecruiting Department: MGH Gastrointestinal Unit
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