Offer summary

Qualifications:

Registered and/or licensed pharmacy technician as required by state., High School Diploma or GED equivalent., At least 3 years of customer service experience., Preferred experience in pharmacy, specialty pharmacy, medical, or insurance fields..

Key responsibilities:

Coordinate communication between physicians, patients, and payers for prior authorization and appeals.

Complete benefits investigations to determine medication insurance coverage.

Support insurance authorization and appeals processes, ensuring compliance with requirements.

Maintain accurate documentation of patient care activities and communicate effectively with internal and external stakeholders.

Job description

As a family company, we serve people and communities. When you work at Meijer, you’re provided with career and community opportunities centered around leadership, personal growth and development. Consider joining our family – take care of your career and your community!

Meijer Rewards

Weekly pay
Scheduling flexibility
Paid parental leave
Paid education assistance
Team member discount
Development programs for advancement and career growth

Please review the job profile below and apply today!

The Clinical Care Coordinator acts as a liaison and coordinates communications between the physician offices, patients and payersfor prior authorization and appeal support. This person must be an expert in all stages of filling specialty medication prescriptions. The Clinical Care Coordinator works to ensure all specialty service expectations are met or exceeded through process improvement, coordinating operational updates and training.

What You'll Be Doing:

Encompasses all skills required of the Patient Service Coordinator role.
Responsible for completing benefits investigation to determine patients’ medication insurance coverage.
Supports the insurance authorization and appeals processes consistent with prescriber and third party payers requirements.
Reviews patient clinical documents for relevant clinical and demographic information as required by the payer.
Maintains complete and accurate documentation of all patient care activities performed.
Responsible for retaining working knowledge of insurance companies formularies’ and therapy approval requirements.
Communicates regularly with patients and providers about the prior authorization process.
Serves as primary point-of-contact for insurance companies and provider offices for insurance verification.
Ability to work across multiple disease states.
Maintains confidentiality of patient information.
Communicates effectively with internal departments supporting specialty pharmacy including Sales, Managed Care, Procurement, Operations and Trade Relations.
Supports dispensing locations with the process for filling specialty prescriptions.
Provides prompt and accurate information to external and internal customers to ensure client satisfaction.
This job profile is not meant to be all inclusive of the responsibilities of this position; may perform other duties as assigned or required.

What You Bring With You (Qualifications):

Registered and/or licensed as a pharmacy technician as required in the state of practice.
High School Diploma or GED Equivalent required.
3+ years customer service experience required.
1 year pharmacy and/or specialty pharmacy, medical, or insurance experience preferred.
180 days as a Patient Service Coordinator highly preferred.
Excellent organization skills with the ability to prioritize workload.
Effective written (including legible penmanship) and verbal communication skills and agent of change.
Ability learn new technologies and systems
Excellent customer service skills
Proficient keyboard skills.
Teamwork.
Demonstrated commitment to consistent attendance.
Basic Math Skills.
Excellent telephone skills.

Required profile