Patient Benefits & Prior Auth Coordinator

Wellstar Health System; Grovetown (GA); On-site; USD 42,000 - 54,000; Full time

Job summary

Wellstar Health System in Grovetown, GA, is seeking an Enhanced Benefits Coordinator to manage prior authorizations for medical and pharmacy benefits, verify insurance details, and provide benefits overviews to patients before treatment. This role requires strong communication, organization, and healthcare terminology proficiency.

You will interact with patients, providers, nurses, social workers, and pharmacists, coordinating with Medication Assistance Coordinators to ensure timely medication

Qualifications

• High School Diploma or GED is required; Bachelor's degree preferred.
• PHT - Registered Pharmacy Tech certification required on hire.
• Minimum 1 year in Pharmacy Technician role or enhanced benefits in a medical office.

Responsibilities

• Screens and processes prior authorizations for medical and pharmacy benefits.
• Follow-ups with patients, providers, and insurances for refills and reauthorizations.
• Coordinate infusion/injection appointments using AU Health IT platforms.
• Collaborate with Medication Assistance Coordinators for specialty medications.
• Ensure timely medication delivery and support with department quality efforts.

Skills

Communication skills

Organizational skills

Prioritization

Time management

Microsoft Office

Medical terminology

Prior authorizations

Education

High School Diploma

Tools

AU Health IT platforms

Job description

Wellstar Health System in Grovetown, GA, is seeking an Enhanced Benefits Coordinator to manage prior authorizations for medical and pharmacy benefits, verify insurance details, and provide benefits overviews to patients before treatment. This role requires strong communication, organization, and healthcare terminology proficiency.

You will interact with patients, providers, nurses, social workers, and pharmacists, coordinating with Medication Assistance Coordinators to ensure timely medication