Medication Authorization Specialist-Administration (ELCCC)

Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California. Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations. Ensures the accurate and timely processing of injection and infusion orders. Works with third-party insurance representatives and EMC clinical staff to process prior authorization requests for infusions and injections. Obtains required clinical documentation for prior authorization (ex: progress notes, labs, diagnoses codes, previous therapies, etc.), ensuring all needed clinical records are collected in order to have treatment authorized on the first attempt. Reviews authorization queue for orders and makes sure the schedule is clear for the coming days. Utilizes website portals and electronic options (when available) to submit authorization requests. Employs other communication sources when required by the payor. Works with management to identify payor trends, preferred medications, biosimilars and/or generics. Performs other duties as assigned. Ability to effectively communicate and write clearly Self-starter; driven to take action without needing prompting Insurance knowledge, both government and commercial Eisenhower Health offers a generous benefits package and a matched retirement plan.

Employees are eligible to participate in a benefits program designed to make a difference for you and your family. From the beginning, this organization formed a culture based on strong values, commitments and a passion for service and professional excellence. What Our Nurses Say

One of my very favorite things about working at Eisenhower Health is the culture on inclusivity that we have and a strong base for evidence-based practice. Lori One of the greatest things about working as a nurse at Eisenhower Health is how much support you get from Administration. We keep on improving the process here. It's a fantastic place to work. My favorite thing about working at Eisenhower Health is the camaraderie within my unit and with the different departments.

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