CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.
Job Details:
We are seeking a dedicated Escalations Intake Specialist for our Revenue Cycle Team. In this position you will be responsible for resolving escalation requests for the intake/referral.
Responsibilities
Ensure the timeliness and accuracy of escalation requests and resolution
Expert knowledge in insurance verification, payor guidelines, contract pricing, prior authorizations and PBM test claims
Reviews patient information in the appropriate system to verify root cause of issues and take corrective action steps to resolve
Obtains additional patient referral data from referral sources via phone or fax as needed
Resolve prior authorization issues or obtain prior authorizations as required
Contacts payer, or patient as appropriate
Completes verification or reverification of insurance coverage as needed
Edit or enter patient information into computer systems as needed
Performs in accordance with system-wide competencies/behaviors
Perform clerical duties as requested
Performs other duties as assigned
Skills & Abilities
Team player
Gives high priority to client satisfaction and customer needs
Maintains confidentiality of patient information
Provides customer service to all internal and external customers
Good verbal and written communication skills
Computer literate, with the ability to utilize standard software applications including Windows and MS Office Suite (Outlook, Word, and Excel)
Good organizational skills with attention to detail and ability to multitask
Requirements
HS diploma or GED required
Excellent communication, interpersonal and organizational skills required
Ability to prioritize and handle multiple tasks
Knowledge of medical terminology required
Proficient computer skills and Microsoft Office Products required
CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.