Enhanced Benefits Coordinator Augusta

The Enhanced Benefits Coordinator serves as the hub for prior authorizations associated with key service lines within the medical center as well as health system clinics. This position will obtain and validate insurance and financial information, obtain any required precertification and/or prior authorization for in office administered medications, and provide benefits overviews to patient prior to treatment. This position is responsible for providing front line, direct contact with patients, families, providers, nurses, social workers and pharmacies.

Screens, processes, and completes prior authorization through medical benefits and pharmacy benefits. Follows-up with patients, providers, and insurance plans on refills and reauthorizations, as required by payers. Processes infusion/injection appointments through WMCG IT platforms in an accurate manner. Coordinates with Medication Assistance Coordinators for specialty medications filled through pharmacy benefits or medications accessed through assistance programs. Coordinates shipping activities associated with patients own medication to ensure accurate and timely medication delivery. Collaborates with other members of the Pharmacy Department team for performance improvement, customer service excellence, and quality assurance (teamwork). Performs other duties as assigned Complies with all Wellstar Health System policies, standards of work, and code of conduct.

High School Diploma / GED General or Bachelors General-Preferred

All certifications are required upon hire unless otherwise stated.

PHT - Registered Pharmacy Tech

Minimum 1 year Pharmacy Technician role or in enhanced benefits or similar role in medical office/center, Pharmacy required Minimum 2 years Pharmacy Technician role or in enhanced benefits or similar role in medical office/center, Pharmacy preferred

communication skills, organizational skills, prioritization, time management. Microsoft Office proficiency Proficient with medical terminology Experience with prior authorizations, insurance, claim adjudication and claim appeals.- Preferred

Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.