Intake & Prior Authorization Specialist

Independent Health; Buffalo (NY); On-site; USD 30,000 - 33,000; Full time

Job summary

Independent Health is seeking an Intake Coordinator to assist pharmacy operations, focusing on intake of new prescriptions, referrals, and benefits investigation. You will triage requests, coordinate with providers and insurers, and support authorization processes to ensure timely patient care.

The role requires a high school diploma or GED and experience in a high-volume pharmacy or health insurance setting; CPhT is preferred.

Qualifications

• High school diploma or GED required.
• One year of experience in a high-volume pharmacy or health insurance company handling prior authorizations required; or six months as a temporary associate in related roles. National Pharmacy Technician Certification (CPhT) preferred.
• Experience working with online claims processing system preferred.

Responsibilities

• Answer patient and provider inquiries about benefit investigation, prior authorizations, referrals, and order status, through incoming and outgoing calls.
• Act as a liaison between patients, providers, and the insurance companies, and facilitate communication between patients and doctors, medical staff and administrative staff.
• Manage incoming prescriptions for new patients and incoming referrals from providers and other pharmacies.
• Benefit investigation.
• Prior authorization assistance, facilitation, and follow up.
• Triaging of prescriptions.
• Manage inbound fax requests and facilitate distribution of request in a timely manner.
• Maintain patient records, filing, and documentation duties.
• Data entry.
• Follow up with offices and patients in a timely manner to ensure a quick turnaround time for prescription.
• Work as a team member within the patient services department and all other departments to promote information sharing and continuous process improvement.
• Must function in strict accordance with standard, written procedures and guidelines with deviation approved by the supervising pharmacist.

Skills

High-volume pharmacy experience

Prior authorizations

Effective communication

Team collaboration with health care

Administrative/data entry

Education

High school diploma or GED

CPhT certification preferred

Tools

Online claims processing system

Claims processing software

Job description

Independent Health is seeking an Intake Coordinator to assist pharmacy operations, focusing on intake of new prescriptions, referrals, and benefits investigation. You will triage requests, coordinate with providers and insurers, and support authorization processes to ensure timely patient care.

The role requires a high school diploma or GED and experience in a high-volume pharmacy or health insurance setting; CPhT is preferred.