Call Center/Prior Authorization Specialist in Mountain Home, Arkansas at Baxter Health

SUMMARY: The Call Center/Prior Authorization Specialist works under the direct supervision of the Outpatient Pharmacist to coordinate timely approval prescriptions and assists pharmacist in preparing and distributing drugs, maintaining drug inventories and maintenance of records.

BAXTER HEALTH COMPLIANCE RESPONSIBILITIES

Understands and adheres to Baxter Health standards as they appear in HealthStream Policy Manager.

Required to work with the Director of Pharmacy regularly to carryout, initiate and/or implement best practices for the Baxter Health Pharmacy Department.

JOB REQUIREMENTS

Education: High School Diploma or equivalent.

Experience: Minimum of 1 year of experience in a pharmacy setting required, preferably in a specialty or retail pharmacy with prior authorization or reimbursement experience.

Certification: Current Certified Pharmacy Technician (CPhT) certification through the Pharmacy Technician Certification Board (PTCB) or RN/LPN required.

License: Current registration as a Pharmacy Technician in the State of Arkansas required.

Other: Excellent interpersonal communication skills required to interact with patients, coworkers, providers, and third party representatives. Strong understanding of commercial and government insurance plans including Medicare Part D, Medicaid, and prior authorization processes. Ability to navigate and utilize payer portals and electronic health record (EHR) systems. Ability to solve problems, prioritize work in a high volume environment, and adapt to changes to workload and schedule to meet patient needs. Excellent verbal and written communication skills; must be able to write legibly, speak and read English proficiently. Must be able to operate computer, calculator, telephone, pager, and other related pharmacy equipment. Proficient in computer use including Microsoft Office, data entry systems, and healthcare platforms. Critical thinker who can anticipate member/customer needs and take initiative, ask the right questions and deliver the highest quality customer experience.

Primary Source Verification:

Original Transcripts, Arkansas State Board of Pharmacy and Pharmacy Technician Certification Board, Arkansas State Board of Nursing

Safety Sensitive Designation:

This position is deemed safety sensitive in accordance with Arkansas Act 593 governing Medical Marijuana.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without an accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to perform the following: Must have the ability to communicate effectively, orally and in writing, to solve problems and make decisions. Spend eight (8) hours or more in front of computer, monitor or similar screen utilizing keyboard and/or mouse, daily. Ability to regularly stand and walk, occasionally bend, squat and twist, and occasionally lift up to 20 pounds using proper body mechanics. Must have a keen sense of hearing and visual acuity with or without correction. Must be able to handle critical and highly stressful situations with efficiency and composure.

Work Environment
Hospital environment to include office and/or Retail/Specialty Pharmacy environment.

Position Type and Expected Hours of Work

Full-time position; typical hours are Monday through Friday, 8:00AM to 5:00PM

May require occasional weekend or evening shifts depending on patient or workflow needs