Penn State Health Milton S. Hershey Medical Center
Location: US:PA:Hershey Work Type: Full Time FTE: 1.0 Shift: Varied Hours: 8
SUMMARY OF POSITION: Researches, obtains authorizations, insurance verifications, clinical documentation, prescription information and financial ability information needed to ensure when a prescriber writes a Specialty (high price, high risk and high touch) medication, so that the patient is able to initiate therapy in a timely and cost-efficient manner.
High School Diploma or equivalent required.
Two (2) years of experience in Prior Authorizations in either a Pharmacy or a Clinical setting required.
KNOWLEDGE, SKILLS, & ABILITIES:
Ability to understand and analyze lab and clinical data within the patient's EMR.
Ability to understand third party payer and insurance complexities.
Ability to communicate professionally with all patients, peers, providers.
Ability to train new hires.
Ability to multitask due to the high volume of phone calls.
Ability to know and understand complex therapies.
Pharmacy technician or Pharmacy billing experience with Insurers and Third Party payers preferred.
If chosen for this position, you may required to pass a Post Offer Employment Physical Exam in accordance with the measurements listed in the Work Task Analysis (WTA) report. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.
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At Penn State Hershey, our mission is to enhance the quality of life and serve our community through improved health, the education of health professionals, and the discovery of knowledge. For us, service excellence is not only for our patients but also our employees. It means valuing each and every employee.