Job Description

Job Summary

This position is a supportive role for the systems ambulatory clinics. The tasks for this position will include, but are not limited to, completing pre and/or prior authorizations, assisting with patient assistance programs, scheduling patients from provider referrals or other registries, working with insurance companies to review coverages, communicating with patients and clinical staff, and managing parts of the medication use cycle. There will be additional opportunities to think innovatively and collaborate on projects with other departments and within our own department.

Essential Functions

• Pull, transcribe, and organize clinical information from patient charts into third party platforms or navigators.
• Complete authorization requests in a timely and efficient manor without compromising quality, to ensure patients receive their care as scheduled.
• Identify and schedule appointments for pharmacists from provider referrals, quality reports, and other available registries.
• Demonstrate the ability to utilize all payer websites to assist verifying patient\xe2\x80\x99s coordination of benefits and authorization requirements.
• Assist with inventory and medication use cycle tasks if in clinic.
• Organize and track data for multiple payer programs and service lines.
• Communicate positively and effectively with patients, colleagues, and clinic staff.
• Adhere to all department procedures, guidelines, and standard work with the ability to utilize resources appropriately.

Qualifications

• Required High School Diploma or equivalent
• Preferred Associate\'s Degree

• 1 year of relevant experience Retail or Ambulatory Pharmacy Experience Preferred
• 1 year of relevant experience Prior Authorization Experience or Insurance Navigation Preferred
• 1 year of relevant experience Epic Experience Preferred

• LIC-Pharmacy Technician - STATE_MI State of Michigan 90 Days required
• CRT-Pharmacy Technician, Certified (CPHT) - PTCB Pharmacy Technician Certification Board Excludes - LIC - Pharmacist Intern 90 Days required Or
• Ideal candidate will be a Pharmacy Technician possessing Permanent License and willing to obtain National Certification 90 Days from Hire, someone with Retail Pharmacy or/and Prior Authorization experience
• This position is Full Time, Day Shift, and may be a Hybrid or Remote, but must reside in State of Michigan
• This position may require On-Site Training, for 2-3 Weeks in Grand Rapids; then position should be Remote after Training
• Must reside in State of Michigan and possess Michigan Pharmacy Technician License

Physical Demands

• Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
• Waist to Waist > 5 lbs: Seldom up to 10 lbs
• Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
• Waist to Overhead > 5 lbs: Seldom up to 10 lbs
• Bilateral Carry > 5 lbs: Seldom up to 10 lbs
• Unilateral Carry > 5 lbs: Seldom up to 10 lbs
• Pushing Force > 5 lbs: Seldom up to 20 lbs
• Pulling Force > 5 lbs: Seldom up to 15 lbs
• Sitting: Frequently
• Standing: Occasionally
• Walking: Occasionally
• Forward Bend - Standing: Seldom
• Forward Bend - Sitting: Occasionally
• Trunk Rotation - Standing: Seldom
• Trunk Rotation - Sitting: Occasionally
• Squat: Seldom
• Stair Climbing: Seldom
• Reach - Above Shoulder: Seldom
• Reach - at Shoulder or Below: Seldom
• Handling: Occasionally
• Forceful Grip > 5 lbs

: Seldom * Forceful Pinch > 2 lbs: Seldom

• Finger/Hand Dexterity: Frequently
• Visual Acuity \xc2\xb9

[None = No; Seldom = Yes]: Seldom

Primary Location SITE - 1810 Wealthy St SE - Grand Rapids

Department Name Administration - Pharmacy Business Services - GR

Employment Type Full time

Shift Day (United States of America)

Weekly Scheduled Hours 40

Hours of Work

Days Worked

Weekend Frequency

CURRENT COREWELL HEALTH TEAM MEMBERS \xe2\x80\x93 Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors and community. That is why we require a drug-free workplace and various vaccinations as a requirement for employment.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

If you are a qualified individual with a disability, you may request assistance in completing the application process by calling 616.486.7447. We are committed to granting reasonable accommodations in accordance with applicable laws.

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