Prescript Authorization Spec
Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health’s robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston.
Skills / Requirements
Responsible for prescription authorization to support prescribing of medications for insured patients. Provides customer service while collaborating with providers, pharmacy, nursing and internal team members for any questions or issues related to the prescription authorization. Responsible for submitting, processing and ensuring authorization is resolved by following payor rules and guidelines. Updates all benefits in Epic to ensure appropriate billing and reimbursement for services when necessary.
School Education: High School Diploma or GED
Degrees: Associate's Degree or 2 years of college preferred
Licenses and Certification: Pharmacy Technician; Texas State Board of Pharmacy
Work Experience: Three (3) years work experience with Prescription/Pharmacy authorization (Epic software a plus) with progressive customer service experience
Language Skills: Spanish preferred
Communication Skills: Above Average Verbal Communication (Heavy Public Contact), Writing/Correspondence, Writing/Reports
Proficiencies: MS Excel, MS Word, Personal Computer
Knowledge/Skills/Abilities: Analytical, Mathematics, Medical Terminology
Work Schedule: Weekdays
Equipment Operated: Must have PC skills, knowledge of computerized patient accounting/registration and eligibility systems, and facsimile operation.
Other Requirements: Able to work efficiently with little supervision, handle stressful situations and have excellent customer service skills. Must be able to interact
successfully in a culturally diverse environment.