Summary
Reporting to the CHMG Patient Refill Center Pharmacist Lead, will manage medication renewal requests and prior authorizations per CHMG policy and protocol as well other duties as assigned. This position will involve accessing and reviewing patient charts, navigating practice-specific protocols, authorizing medication renewals appropriately, and submitting prior authorization requests that are complete and accurate. This is an administrative position and does not involve direct patient contact. In addition, may be involved in other areas of Central Service support such as inputting of medical records/chart pre-loading as well as assisting in other clerical, environmental and organizational needs.
Education
Successful completion of the Pharmacy Technician Certification Board CPhT Exam, OR accredited Medical Assistant program preferred. Alternately, completion of a Licensed Nursing Assistant program.*
Certification, Registration & Licensure
Any of the following credentials meet requirements for this position:
Certified Pharmacy Technician, CPhT
Registered Medical Assistant, RMA
Certified Medical Assistant, CMA
*Any candidates with Licensed Nursing Assistant, LNA credentials may be hired into a Medical Assistant position with the expectation that the candidate must obtain certification or registration within the first year of employment.
Experience
With completion of an accredited Medical Assistant program or Pharmacy Technician Certification Board CPhT Exam, no experience is required. Licensed Nursing Assistant must have a minimum of one year of healthcare experience.
Responsibilities
Receive medication renewal requests via eRx, phone, voice mail, fax, etc. and authorizes refills adhering to CHMG Medication Renewal Policy and Protocol.
Initiates and completes medication prior authorizations. Covermymeds.com experience a plus.
Follows telephone screening guidelines for answering the phone; identifies patient's concern and directs calls if needed.
Makes outgoing calls relating to medication renewals and prior authorizations.
Schedules patient appointments and places future appointment orders as needed, demonstrating understanding of scheduling guidelines and patient needs.
Uses software (EMR, e-mail, fax queues, registries, portal, etc.) following established protocols for documentation and actions.
Performs additional tasks as assigned, such as patient chart pre-loading and scanning.
Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.
Know Your Rights: Workplace Discrimination is Illegal
Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more.
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at 603-230-7269.
Physical and Work Requirements
The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The Dictionary of Occupational Titles Material Handling Classification is SEDENTARY. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull less than 10 pounds, and occasionally lift, carry or push/pull up to 10 pounds.
While performing the duties of this job, the employee is constantly required to sit, do activities that require fine motor skills, speak, and hear. The employee is occasionally required to bend, kneel, squat, climb, stand, walk, reach, and drive.
Specific vision abilities required by this job include depth perception, far vision, peripheral vision, color vision, and near vision.
The noise level in the work environment is usually moderate.