Intake Coordinator(Patient Authorization Coordinator)

7 days ago

Makati City, National Capital Region, Philippines SuperStaff Full time

The Intake Coordinator is the employee that interacts and works closely with many other employees. This person also interacts with the clinical sales specialists, management team leaders, physicians, nurses and office staff, case managers, and pharmacist. This employee also works closely with all drug manufacturers and the patient /patient family. This position is at the corporate office. The Intake Coordinator provides coordination of care for all incoming patients, under the direction of the Pharmacy Supervisor / Intake Team Lead. The Intake Coordinator contributes greatly to the overall satisfaction of our customers, vendors and Business associates.

ESSENTIAL JOB RESPONSIBILITIES

 Receipt of referrals from Pharmacist after review for assigned territory including

Insurance information, Statement of Medical Necessity, Prescription, and pertinent

clinical documentation necessary for authorization process.

 Assists with obtaining necessary information for processing under the direction of the

dispensing pharmacist.

 Utilizes Docutrack system for tracking and to monitor appropriate designation of

information received.

 Enters patient information into Premier View for all designated territorial new starts

received.

 Assists with incoming referrals for other territories as necessary.

 Enters territorial requests for follow up assistance on the Request log as appropriate.

 Consults with clinical staff regarding clinical review as appropriate. Contacts physician's

offices as directed. Requests prescriptions as needed to process referral.

 Closely monitors formulary status of all incoming referrals and assists with follow up

initially as insurance plan dictates.

 Assists with monitoring of new start referrals for patterns and trends as it relates to

completeness of referral and insurance/formulary coverage.

 If delay at or beyond 72 hours occurs with an incoming new referral, Intake Coordinator

contacts family and informs them of status.

 Upon completion of data entry, forwards information to the appropriate case manager for

processing.

 Consistently updates notes in the system and on the logs to reflect the current patient

status.

 If PKC is unable to service based on current coverage or contracting limitations, Intake

Coordinator will make the file inactive and notify all appropriate parties of the status.

 Works closely with the Sales / Clinical staff, and Case Managers to communicate

status of referrals.

 Makes initial contact with DME patients.

 Performs other related duties as required and assigned.

Requirements

 Strong verbal and written communication skills are required.

 Must be knowledgeable in basic office operations and be able to perform multiple tasks

simultaneously.

 Must be able to work under pressure, delineate priorities when workload is abundant.

 Must be able to represent the company in a professional manner.

 Must maintain HIPAA (Health Insurance Portability and Accountability

Act) compliance in accordance with the provisions outlined in the

company's Employee Manual and HIPAA manual and understand their obligations under

the Privacy Rule.

 Able to perform the essential duties of this position without posing a "direct threat" to the

health or safety of self or others.

Benefits

HMO with 1 free dependent upon hire
Life Insurance
20 PTO credits annually
VL and SL cash conversion
Annual Performance-Based Merit Increases and Employee Recognition
Great Company Culture
Career Growth and Learning
A laptop will be provided by the company

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