Clinic Rx Refill Prior Authorization Specialist - Remote
• *This position is fully remote. Applicants must reside in the State of Oregon in order to qualify for this position** • JOB SUMMARY/PURPOSE
- Responsible for assisting with prescription refill requests based on physician managed medication refill protocols. Responsible for prior-authorization process for those medications ordered for patients whose insurance plan requires documentation of medical necessity. Maintains patient records, ensures that test results fall within practitioner protocol and communicates as needed with practitioner and other health team members when questions and/or concerns arise.
- DEPARTMENT DESCRIPTION
- Samaritan’s Centralized Refill Center takes action on prescription refill requests for our primary care clinics. Following strict protocols, we are able to fill or prepare the refill for approval. Streamlining this process helps to ensure our patients receive refills as quickly as possible.
- EXPERIENCE/EDUCATION/QUALIFICATIONS
- High school diploma or equivalent required.
- One (1) of the following required:
- Certified Medical Assistant, and previous medical back office experience/medical assistant training or completion of a MA/Certified Medical Assistant program.
- One (1) year of Pharmacy Technician experience.
- KNOWLEDGE/SKILLS/ABILITIES
- Team Building - Ability to work, function and communicate on a multi-disciplinary team. Possess the knowledge and skills to develop constructive and cooperative working relationships with others and maintain them over time.
- Social Perceptiveness - Ability to work with a diverse population from pediatrics to geriatrics. Basic understanding of age-related differences in caring for and/or communicating with patients and caregivers. Possess personal sensitivity to the needs and experiences of others and a non-judgmental attitude towards persons of differing standards, values, lifestyles, and ages.
- Service Orientation - Successfully apply knowledge of various resources/models of recovery to assist and care for others.
- Clerical - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology.
- Confidentiality - Knowledge of State and Federal (HIPAA) laws pertaining to confidentiality of protected health information. Ability to comply with laws and maintain confidentiality of patient information.
- Time Management - Ability to organize, plan and prioritize work to complete within required time frames and to follow-up on pending issues. Ability to perform multiple tasks simultaneously and thrive in dynamic fast-paced environments and under pressure.
- PHYSICAL DEMANDS
- Rarely (1 - 10% of the time) Occasionally (11 - 33% of the time) Frequently (34 - 66% of the time) Continually (67 – 100% of the time) WALK - INCLINE LIFT (Floor to Waist: 0"-36") 20 - 40 Lbs LIFT (Knee to chest: 24"-54") 0 - 20 Lbs LIFT (Waist to Eye: up to 54") 0 - 20 Lbs CARRY 1-handed, 0 - 20 pounds CARRY 2-handed, 0 - 20 pounds SQUAT Repetitive SQUAT Static (hold >30 sec) PUSH (0-20 pounds force) PULL (0-20 pounds force) STAND CLIMB - STAIRS KNEEL (on knees) REACH - Upward SIT WALK - LEVEL SURFACE BEND FORWARD at waist ROTATE TRUNK Sitting ROTATE TRUNK Standing REACH - Forward MANUAL DEXTERITY Hands/wrists FINGER DEXTERITY PINCH Fingers GRASP Hand/Fist Location: Samaritan Health Services · SHS Refill Center Schedule: 1.0 (80 hrs/pp), Day Apply tot his job
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