Intake Coordinator - Pharmacy/DME
American Medical Direct - San Antonio, TX

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We are a closed door pharmacy company specializing in Pain Management,Home Infusion Therapy, and Urological Supply. We are looking for a full time intake coordinator who meets the following qualifications.

Job Description:

  • Receives and coordinates all referrals to include notification of insurance providers for prior authorization and services covered.
  • Responsible for the review of daily logs and notes from Case Managers to assure continuity of care, documentation of nursing process, appropriateness of intervention/action and timeliness of documentation.
  • Using discretion and independent judgment in handling patent or physician complaints received, documents and forwards to appropriate administrative staff.
  • Maintains log and any reports essential for appropriate billing and reorder process.
  • Communicates with Branch Manager any information received from physician, patent or employees about the patents care or needs.
  • Takes physician orders by phone, documents in PtCT, notifies appropriate Case Manager and adjusts schedules accordingly as indicated.
  • Files all office records as necessary.
  • Proficient with PtCT, data entry, and computer skills for generation of daily office communication.
  • Provide direct patient care on an as-needed basis, as assigned by Branch Manager.
  • Assists with other functions as assigned by Branch Manager.

Job Requirements:

  • Pharmacy/DME Experience is a plus.
  • Basic understanding and interpretation of medical terminology and diagnosis codes
  • A clear understanding of prescription and medical benefits as it applies to the utilization review process is required.
  • Basic math skills, good data entry and information retrieval skills required.
  • Strong PC and commonly used software skills.
  • Strong communication skills are necessary including written, verbal, and telephone.
  • Must possess a high degree of professionalism, solid customer service orientation, strong work ethic and the ability to maintain a positive attitude when dealing with both internal and external customers.
  • Must be conscientious, efficient and accurate in prior-authorization, exception and medical/Rx necessity review processing.
  • Is expected to continually strive to develop and/or refine skills necessary to respond to the customer.
  • Demonstrated capability to work independently and apply competent problem solving and analytical abilities to any situation.
  • Basic understanding of drug classes and therapeutic interchange

Knowledge in CPR+ software is a plus