Prescription Fulfillment Specialist

St. Joseph Hospital; Nashua (NH); On-site; USD 29,000 - 40,000; Full time

Job summary

St. Joseph Hospital is seeking a Prescription Refill Specialist to centrally process prescription refills and prior authorizations across Covenant Health Ambulatory Practices.

The role reviews patient charts and follows established standards to support providers and improve workflow efficiency. Responsibilities include documenting refills accurately, communicating with patients about refill status, and providing flexible coverage within the Covenant Health Ambulatory Practices network.

Qualifications

• High School diploma or GED required with CMA credential.
• 2+ years Medical Assistant experience preferred.
• Certification through NCCA/AMT/NCCT/NHA required.

Responsibilities

• Processes prescription refills and prior authorizations for all ambulatory practices via centralized systems.
• Follows established workflows and prior authorization protocols.
• Documents prescription processing accurately and concisely.
• Communicates with patients regarding refill status on a case-by-case basis.
• Provides flexible coverage within Covenant Health Ambulatory Practices network.

Skills

Organizational skills

Independent work style

Customer service

Electronic health records reading

Commutable distance to Covenant sites

Policy adherence

Clinical competency commitment

Education

High School diploma or GED

Certified Medical Assistant

2+ years MA experience preferred

NCCA/AMT/NCCT/NHA certification required

Job description

Job Summary:

The Prescription Refill Specialist is clinically responsible for processing prescription refills and prior authorizations “centrally” across the Covenant Health Ambulatory Practices. Additionally, the job role involves the careful review of patient charts by following established standards, protocols, workflows, thus improving efficiency by reducing the workload on our Providers.

Essential Duties and Responsibilities

• Supports and promotes the mission and values of Covenant Health Ministry.

• Processes prescription refills and prior authorizations for all Ambulatory Practices via the centralized systems and EMR work queues.

• Follows all workflows, established prescription refill procedures related and prior authorizations protocols.

• Rectifies outstanding prescription protocol requirements.

• Thoroughly and concisely, documents prescription processing with accuracy.

• Communicates directly with patients on a “case-by-case” basis regarding their prescription refill status.

• Demonstrates flexibility in assisting with the support and coverage within the Covenant Health Ambulatory Practices network.

• Other duties assigned or consistent with this job role.

Job Requirements

Job Knowledge and Skills

• Exceptional organizational and problem-solving skills.

• The ability to work in an independent, fast-paced and detail-oriented environment.

• Provides excellent customer service through engaging interpersonal skillsets and excellent written communication.

• Proficient in the reading and understanding of electronic health records.

• Must be within commutable distance to one of the Covenant locations if physical onsite work is needed in lieu of remote.

• Adheres to organizational policies, procedures, worksite protocols, safety and infection control policies.

• Demonstrates an ongoing commitment to maintaining clinical competencies or activities that contribute to healthcare professional development, thus required by the MAS department and Covenant Health’s policies.

Education and Experience

• High School diploma or GED.

• Certified Medical Assistant (Required).

• 2+ years’ experience as a Medical Assistant preferred.

• Certification and registration through the National Commission for Certifying Agencies (NCCA) ~American Association of Medical Assistants (AAMA), American Medical Technologists (AMT), National Center for Competency Testing (NCCT) or the National Health Career Association (NHA) is required.

An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements.

Working Conditions/Physical Demands

Must possess the physical and mental abilities to perform the tasks normally associated with this position that involves a combination of sitting, standing, walking, bending, stooping, and reaching. Some stress related to high level of responsibility for quality care.

Americans with Disabilities Statement

Must be able to perform all essential functions of this position with reasonable accommodation if disabled.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Covenant Health reserves the right to modify position duties at any time, to reflect process improvements and business necessity.

Standard of Business Conduct

Every St Joseph Hospital employee is required to abide by the Standards of Conduct and to report any activity that appears to violate the Standards of Conduct.

Covenant Health Mission Statement

We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities.

Our Core Values:

Compassion

We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering.

Integrity

We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources.

Collaboration

We work in partnership, dialogue and shared purpose to create healthy communities.

Excellence

We deliver all services with the highest level of quality, while seeking creative innovation.

Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history).

Comp Range:

$21.55 - $29.68

Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position.