Patient Access & Refill Coordinator

Long Island Select Healthcare; United States; À distance; USD 36 000 - 52 000; Plein temps

Résumé du poste

Long Island Select Healthcare is seeking a Call Center Medical Assistant to support patients and the clinical team by handling calls, refill requests, and prior authorizations. As a liaison between patients, pharmacies, providers, and insurers, you will document information, reinforce care plans, and help ensure timely access to medications while upholding HIPAA and organizational standards.

This role requires strong communication, basic computer skills, and the ability to navigate EHR and

Qualifications

• Education and/or Experience: High school diploma or GED; or 1–3 months related experience and/or training; or equivalent combination.
• AAMA certification preferred.
• Necessary Skills & Abilities: ability to read and interpret documents, communicate effectively, and maintain confidentiality.

Responsabilités

• Receive incoming calls related to medication refill requests.
• Review patient records for completeness and route refill requests to providers for review and approval.
• Prepare and process refill requests in accordance with established workflows and provider direction.
• Communicate with pharmacies and providers to clarify or resolve refill-related issues.
• Provide patients with general information regarding refill processes and timelines.
• Initiate, submit, and track medication prior authorizations with insurance payers.
• Collect and document required information to support authorization requests.
• Communicate authorization status to patients, providers, and pharmacies.
• Follow up on pending or denied authorizations and escalate to appropriate staff as needed.
• Receive incoming patient calls and accurately document patient-reported symptoms, concerns, and requests.
• Route patient concerns to appropriate clinical staff (RN, provider) for review and follow-up.
• Reinforce provider-directed instructions and care plans as appropriate.
• Provide clear, professional, and empathetic communication to patients via phone and electronic messaging.
• Collaborate with physicians, nurses, medical assistants, and administrative staff to support patient care coordination.
• Address patient concerns related to medication access and insurance requirements.
• Ensure adherence to HIPAA, organizational policies, and applicable regulations.
• Accurately document all interactions, actions, and outcomes in the electronic health record (EHR).
• Meet established productivity, quality, and customer service benchmarks.
• Demonstrate effective time management, organization, and attention to detail.
• Maintain clear, accurate, and timely documentation.
• Communicate effectively and work collaboratively within a team environment;
• Supervisory Responsibilities

Connaissances

Microsoft Office

Outlook

Excel

Word

EMR software

Practice Management software

Formation

High School Diploma or GED

AAMA certification preferred

Outils

Practice Management software

Electronic Medical Record software

Description du poste

Long Island Select Healthcare is seeking a Call Center Medical Assistant to support patients and the clinical team by handling calls, refill requests, and prior authorizations. As a liaison between patients, pharmacies, providers, and insurers, you will document information, reinforce care plans, and help ensure timely access to medications while upholding HIPAA and organizational standards.

This role requires strong communication, basic computer skills, and the ability to navigate EHR and