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.