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Essential Job Functions:

Improve patient service experience and maximize UCMC pharmacy revenue through provision of prior authorization services on behalf of clinics for select high cost medications. Conduct patient insurance, benefits and financial investigation and verification by directly communicating with patients. Complete prior authorization forms, negotiate authorization status with insurers, track status of prescription approval and when necessary, alert clinical pharmacists of denials or nonresponse. Facilitate enrollment of patients in patient assistance programs and collaborate with social services and case management on patient assistance. Enter patient information on tracking forms and in computer software. Expedite clinic workflow and enhance patient care by preventing therapy interruptions due to insurance issues in conjunction with pharmacists, physicians, and clinic staff. Provide exemplary customer service to outpatients across UCMC. Observe and understand prescribing trends within UCMC ambulatory clinics to identify areas for improved specialty pharmacy contracting. Assist with the development and implementation of policies and procedures to ensure reimbursement of high cost medications. Performs other duties as requested by senior management.

Required Qualifications:

Associate or Bachelor's degree Current or Eligibility for Illinois Pharmacy Technician Licensure 3 to 5 years of pharmacy technician experience in a retail pharmacy (Exceptional aptitude or knowledge may be considered in lieu of experience.) Knowledge of and ability to use computers and a variety of computer programs including word processing, database management and spreadsheets Strong oral and written communications skills Ability to effectively manage conflicts and resolve problems Effective interpersonal skills, including the ability to effect collaborative alliances, promote teamwork and ensure a high degree of internal and external customer satisfaction Ability to function effectively in a fast-paced and changing environment with multiple priorities Knowledge of and ability to perform insurance carrier/managed care review

Preferred Qualifications:

Knowledge of medication reimbursement preferred Knowledge of healthcare/prescription insurance billing, prior authorization, coding preferred

Position Details:

Job Type/FTE:

Full-Time (1.0 FTE)

Hybrid Shift:

9am-5:30pm

Unit/Department:

Outpatient Pharmacy CBA Code:

Non-Union In this role, we anticipate that you will be scheduled to work the day shift, you will approximately work 9am-5:30pm, and will not be scheduled for on-call shifts. We anticipate you will work a hybrid schedule, with onsite shifts at the Burr Ridge location after 90 days of hire. 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Find & Apply For Pharmacy Manager / Director Jobs in Burr Ridge, Illinois

Ambulatory Medication Access Coordinator Pharmacy Tech, Prior Authorization and Pharmacy Call Center Burr Ridge