Pharmacy Benefit Coordinator
Location: Metairie, Louisiana
Description: Peoples Health, Inc. is currently interviewing Pharmacy Benefit Coordinator right now, this occupation will be presented in Louisiana. Further informations about this occupation opportunity kindly read the description below. The Pharmacy Benefits Coordinator will create an exceptional experience for our providers, pharmacists, other PH employees and internal and external customers while ! assisting them with Pharmacy issues, inquiries and concerns.
The Pharmacy Benefits Coordinator will facilitate coverage of prescription drugs for members by interacting with providers, pharmacists, other employees and the Pharmacy Benefits Manager.
Responsibilities:
Provides real-time on-line access to members' prescription records in order to obtain instantaneous information and to approve overrides immediately
Ensures that the right members are receiving the right medications at the right cost
Serves as liaison to providers, pharmacists, member services and health services in ensuring proper utilization of pharmacy benefit
Works with the Health Services Department's administrative assistant and the Pharmacy Director(s) to facilitate the mailing of approval/denial letters
Acts as a resource regarding information on the pharmacy benefit to include the drug tiers, the adjudication process, drug amount accumulations and information! regarding prior authorizations
Responsible for maintainin! g and retrieval of documents regarding prior authorization process and documenting such requests
Qualifications:
College degree preferred.
Minimum of 6 months experience with handling pharmacy requests for authorization and over-rides using real-time, on-line prior authorization software.
Commitment or providing exceptional quality service to our members, providers, customers and staff required.
Must be able to work as part of a team.
Attention to detail and accuracy a must.
Competency with real-time pharmacy authorization software, preferred.
Experience with AMISYS, MACESS program systems, preferred.
Ability to use MS Word, MS Excel, MS Outlook, Windows Filing Techniques preferred. Working knowledge of CMS/Accreditation requirements, preferred.
Strong verbal and written communication skills and the ability to effectively interact with multifaceted medical professional staff required.
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If you were eligible ! to this occupation, please deliver us your resume, with salary requirements and a resume to Peoples Health, Inc..
Interested on this occupation, just click on the Apply button, you will be redirected to the official website
This occupation will be started on: Thu, 26 Sep 2013 18:31:12 GMT
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