Refill Authorization Representative, Hybrid The Everett Clinic Everett, Wa

Everett, WA 98203, United States

Job Description

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For those who want to invent the future of health care, here\'s your opportunity. We\'re going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life\'s best work.(sm)

Under general supervision, processes refill authorization and prior authorization requests in a centralized location for all Primary Care providers. Refill Authorization Representatives are a vital communication hub between patients, providers and pharmacies providing outstanding customer service.

Primary Responsibilities:
  • Communicates patient requests/concerns to physician or registered nurse verbally and in writing. Under general supervision, processes refill authorization and prior authorization requests in a centralized location for all Primary Care providers. Refill Authorization Representatives are a vital communication hub between patients, providers and pharmacies providing outstanding customer service
  • Prepares refill and prior authorization requests for review by the provider as directed by department protocols
  • Schedules appointments if necessary
  • Arranges lab tests prescribed by physician or registered nurse
  • Enters/gathers patient information in the EHR to process refill and prior authorization requests
  • Fosters positive interpersonal relationships with fellow employees, physicians and patients
  • Documents pertinent information in the EHR
  • Communicates with patients via email, mail or phone as directed by department protocols

You\xe2\x80\x99ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:
  • High school diploma, GED or equivalent experience
  • Completion of a pharmacy technician certification program or Medical Assistant program approved by the Washington State Board of Pharmacy/Health
  • Have and maintain an active pharmacy technician license in the state of Washington OR Active Interim or Medical Assistant Certified (MA-C) through the Washington State Department of Health
  • 2+ years of experience in health care, including understanding of health plan related operations
  • 1+ years of experience as a pharmacy technician or medical assistant
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:
  • 3+ years of experience working as a pharmacy technician or medical assistant
  • Experience in a call center environment and/or customer service-oriented role

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment
Careers at OptumCare. We\'re on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we\'re creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all. Join us and learn why there is no better place to do your life\'s best work.(sm)

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare\xe2\x80\x99s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

Washington Residents Only: The hourly range for Washington residents is $16.00 to $27.31. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you\xe2\x80\x99ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone\xe2\x80\x93of every race, gender, sexuality, age, location and income\xe2\x80\x93deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Detail

  • Job Id
    JD4262112
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Everett, WA 98203, United States
  • Education
    Not mentioned