Bothwell Infusion and Procedure Center Auth Referral Specialist; 7:00am -3:30pm; 80 HRS

JOB SUMMARY:



Responsible for the following: answering calls coming into the Infusion and Procedure center, scheduling all authorized Infusion and Procedure clinic appointments, ensuring authorizations are obtained and documented for the Infusion and Procedure Center as well as the outpatient employee pharmacy..



The Infusion and Procedure Center Auth Referral Specialist reports directly to the charge nurse/Director.



QUALIFICATIONS:



Education-Preferred:

LPN – Graduate of an approved Practical School of Nursing.

Military Aerospace Medical Service equivalent to LPN.

Certification as Pharmacy Technician.



Licensure/Certification-Preferred:

a.)  LPN – Current Licensure by Missouri State Board of Nursing.

b.)Military Aerospace Medial Service equivalent to LPN.

c.)Licensed Pharmacy Technician by Missouri Board of Pharmacy.



Work Experience:

a.)  Providing Clinical information to insurance companies.

b.)  Experience in answering phone calls.

c.)  Scheduling appointments.

d.)  Computer experience.

e.)  Retail pharmacy experience.   



RESPONSIBILITIES/JOB DUTIES:



Receives orders from Infusion and Procedure Center fax and e-mail for new patients needing medications for infusion and injections.



Assists the employee pharmacy in prior authorizations on an as needed basis.  May be as frequently as daily to assist in the completion of these authorizations. 



Reviews Infusion and Procedure Center’s schedule, obtains authorization if required, and notates it in ARM.  If any additional information is needed before the appointment is made it will be notated in the account.



Works daily in the ARM work list for scheduled appointments for Infusion and Procedure Center’s services.



Verifies insurance coverage and obtains pre-certification and authorization on

outpatient, and recurring accounts.



Answers all calls coming into the authorization desk.



Schedules Infusion and Procedure Center appointments.



Document in Meditech system any action taken on all patients’ accounts.



All other duties as assigned.    



REQUIRED STAFF COMPETENCIES:



Reviews department’s schedule and obtains authorization if required and

notates it in ARM.If any additional information is needed before the appointment it will be notated on account.



Works daily ARM work list for scheduled appointments for Infusion and Procedure services.



Verifies insurance coverage and obtains pre-certification and authorization on

outpatient, and recurring accounts as well as for the employee pharmacy..



Answers all calls coming in to the auth desk.



Schedules appointments.



Document in Meditech system any action taken on all patients’ accounts.



 WORKING CONDITIONS:



Normal office conditions

Required to handle highly confidential information

Productivity demanding.

Able to work with interruptions.

Ability to multitask.