Newark, CA, 94560, USA
13 hours ago
Authorization Coordinator
Job Title: Authorization CoordinatorJob Description The Authorization Coordinator is responsible for confidentially reviewing medical records to ensure proper documentation supports pharmacy prescriptions. This role requires the submission of detailed chart notes and other pertinent documentation to support authorization requests. The coordinator manages the electronic medical records (EMR) work queue for new and resubmitted pharmacy prescription requests to health plans and communicates effectively with clinicians, clinic and finance leadership, clinical team members, patients, and pharmacies. Responsibilities + Review medical records confidentially to confirm proper documentation for pharmacy prescriptions. + Submit detailed chart notes and documentation to support authorization requests. + Manage the EMR work queue for pharmacy prescriptions related to new and resubmission requests to health plans. + Communicate effectively with patients, providers, and insurance companies regarding authorization status. + Maintain accurate records of all interactions and documentation related to authorization requests. + Confirm active insurance is on file and obtain benefits as required. + Ensure proper pharmacy benefit workflow is in place. + Follow deferred standard workflow to avoid patient care delays. + Collaborate with area Lead and Manager to streamline processes. + Coordinate and communicate with clinics, patients, pharmacists, and health plans using smart phrases for consistent messaging. + Access EHR to communicate with clinical staff members and/or physicians using referral in-basket messages, pools, or telephone encounters in SBAR format. + Manage EHR in-basket(s) and referral work queues according to performance standards. + Perform other assigned duties, participate in organizational projects, and adhere to safety, HIPAA, and compliance policies. + Provide orientation and training to new staff as assigned. Essential Skills + Prior authorization experience + Medical and retail pharmacy knowledge + Data entry proficiency + EPIC system experience + Two to four years of experience in pharmacy prescriptions requiring pre-authorization in a physician office-based setting + Ability to type a minimum of 30 words per minute + Healthcare or related setting experience + Medical terminology knowledge + Customer service skills + Administrative skills Additional Skills & Qualifications + Strong verbal, written, and listening communication skills + Excellent interpersonal and telephone communication skills + Legible handwriting + Ability to maintain composure during challenging interactions + Basic math skills for payment collection and cash drawer balancing + Basic computer skills including keyboarding, mouse movement, and data entry for practice management system and EHR + Ability to effectively organize and prioritize tasks + Flexible and cooperative work style + Nice to have: Medication authorization knowledge + EPIC and Cover My Meds experience Work Environment This position is primarily remote with monthly onsite meetings in Newark, CA. Standard working hours are 7:30 AM to 4:00 PM, Monday through Friday, with optional overtime. The work environment is characterized by constant change. Pay and Benefits The pay range for this position is $28.00 - $41.50/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Aug 15, 2025. About Aston Carter: Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com (%20astoncarteraccommodation@astoncarter.com) for other accommodation options.
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