Pharmacy Infusion Care Prior Auth Specialist, Pharmacy Administration, FT, 08A-4:30P

Baptist Health
Miami Lakes
Full-time

Baptist Health South Florida is the region’s largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties.

Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences.

Baptist Health is supported by philanthropy and committed to its faith-based charitable mission of medical excellence.

Our mission, vision, and values make us who we are at Baptist Health and are at the center of everything we do. At Baptist Health, we positively impact the human experience for patients, employees, and physicians.

Our success comes from a culture of quality and dedication that is instilled into every member of the Baptist Health family.

This year, and for 24 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, based on employee feedback.

We’ve also been recognized as one of America’s Most Innovative Companies and People Magazine included us in 50 Companies That Care.

Based on the & World Report 2023-2024 Best Hospital Rankings, Baptist Health is the most awarded healthcare system in South Florida, with its hospitals and institutes earning 45 high-performing honors.

But really, the reason we’re excited to come to work is the people.

Working together, we form personal connections with our colleagues that are stronger than most of us have experienced at other jobs.

We develop caring relationships with our patients and their families that go beyond just delivering healthcare. After all, we know what it’s like to be in their shoes.

Many of us have been patients here and have had family members as patients here. We’re committed to delivering quality care in the most compassionate way possible because we feel a personal stake in the outcomes.

When it comes to caring for people, we’re all in.

Description

Obtain prior authorization from payors. Route patient referrals to the appropriate department or individual(s). Establish and maintain accurate and complete patient records.

Receive calls from new patients and referral sources and document all customer communications. Maintain a broad knowledge base concerning insurances, payor policies, and prescription medication in order to assist with the verification of insurance coverage for patients by obtaining all necessary information.

Identifies patients who require authorization for all infusion services. Coordinates intake and authorizations for multiple sites as assigned.

Identifies patients who require authorization for all infusion services. Coordinates intake and authorizations for multiple sites as assigned.

Qualifications

Degrees : Associates Additional Qualifications : Health Related Field, MA, or Registered Pharmacy Technician , effective communication, decisive judgement, and the ability to work with minimal supervision.

The incumbent must be able to work in a fast-paced environment. The role requires payor medication authorization experience, as well as an understanding and knowledge of payer s requirements and expectations.

Responsible for obtaining, coordinating, and processing information about new patients in a timely manner. Must have proficient computer skills including, EMR and electronic medical management system, outlook, and MS word, Cerner / Soarian experience preferred.

Education and training in medical terminology preferred. Minimum Required Experience :

Corporate

Primary Location

Miami Lakes

Organization

Corporate

Schedule

Full-time

Job Posting

Aug 6, 2024, 12 : 00 : 00 AM

Unposting Date

Ongoing

23 days ago
Related jobs
Baptist Health
Miami Lakes, Florida

Baptist Health South Florida is the region’s largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach countie...

Miami Cancer Institute at Baptist Health
Miami, Florida

These duties include but are not limited to: preparing non-hazardous and hazardous IV admixtures, refilling automated dispensing cabinets (ADC),filling and labeling medications,answers the telephone and routes the call as appropriate, delivers medications to patients care areas, maintains medication...

Larkin Community Hospital
Hialeah, Florida

Coordinate patient care with appropriate medical and pharmacy staff. Introduce Larkin Outpatient Pharmacy Services to patients as needed. Performs clerical functions that support the provision of quality pharmacy services to patients. Identifies and communicates issues to the Pharmacy Supervisor as ...

Miami Cancer Institute at Baptist Health
Miami, Florida

These duties include but are not limited to: preparing non-hazardous and hazardous IV admixtures, refilling automated dispensing cabinets (ADC),filling and labeling medications,answers the telephone and routes the call as appropriate, delivers medications to patients care areas, maintains medication...

Memorial Healthcare System
Hollywood, Florida

At Memorial Healthcare System (MHS), our ever-growing pharmacy career options present unlimited opportunities to individuals passionate about advancing pharmacy practice. As a nationally recognized and respected leader for providing “A-rated” patient care and safety, MHS prides itself on being able ...

Broward Health
Fort Lauderdale, Florida

Participates in committees and represents the department of pharmacy throughout the hospital or ambulatory settings within the area of focus. ...

Baptist Outpatient Services
Miami, Florida

Baptist Health South Florida is the region’s largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach countie...

Baptist Health
Miami, Florida

It is the function of the assistant vice president of Facilities Management to provide an overview and broad management control over the health systems construction planning, execution and administration. At least two years of formal engineering or architectural training (BSCE, BSCM, BSAE), or at le...

Steward Health Care
Fort Lauderdale, Florida

Over a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater pro...

Jackson Health System
Miami, Florida

Coordinates educational activities for pharmacy students, pharmacy residents/fellows, pharmacy staff, medical students/residents, nursing and other allied health professionals. Pharmacy Manager Hospitals plan, coordinate and supervise the pharmaceutical work of a major segment of a large and complex...