Intake Specialist II
HybridMurfreesboro, Tennessee, United States
Job Summary
Manage email, fax, and web portals for new referrals while answering incoming calls and coordinating with departments to complete admissions. Obtain documentation to process referrals, verify insurance coverage to determine patient out-of-pocket expenses, and ensure medications meet insurance requirements for successful authorization, dispensing, and billing. Communicate with patients regarding the referral process, expenses, and questions, and arrange nursing as needed based on patient needs and insurance constraints. Capture all relevant information in internal systems and review medical policies specific to insurance and contracting.
Required Qualifications
- High School Diploma or GED
- Current, unrestricted Pharmacy Technician (PT) license in the state of practice
- Medical ERM and/or other medical software knowledge
- One to two years of related intake or medical office experience
- Attention to detail
- Critical thinking
- Problem solving
- Approachable
- Phone etiquette
- Dependable
- Verbal and written communication
- Teamwork
- Cooperation
- Collaboration
Desired Qualifications
- Pharmacy Technician certification (CPhT)
- Professional license (LPN, Medical Assistant, etc.)
- IV/Specialty Pharmacy Experience
- Knowledge of HCPC coding
- Medical/pharmacy terminology
- ICD-10 codes
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