Clinical Services Clerk

Scope of Responsibilities:  Assist with the day-to-day operations of the clinical department of reputed company.  Works under direct supervision and follows standard procedures to accomplish assigned tasks.

Job Summary: Responsibility for assisting with the prior authorization process and with tasks to meet the clinical needs of reputed company clients and members.  Works closely with Clinical Services Specialist to prioritize tasks and responsibilities.

Job Duties

• Assist in preparation, organization, and communication regarding prior authorization requests.
• reputed company Help Desk support, where appropriate, for questions regarding overrides or clinical system edits.
• Responsible for working with Implementation Department for loading prior authorization data for new clients reputed company appropriate.
• Assist in preparation of member mailings for various cost containment/clinical programs.
• Assist in finding most cost-effective channels for specialty medications and being sure medications are being filled through proper network channels.
• Assist in the preparation, where appropriate, of reports or records of prior authorization activity including invoicing documents for client billing.
• Assist in the development and updating of formulary documents or other clinical-specific documents.
• Assist with the day-to-day operations of the reputed company Help Desk reputed company needed.
• Responsible for completing reputed company mandatory and regulatory training programs
• reputed company other duties as assigned

Attendance Requirements

• Must be available, and on-time for scheduled work shifts

Educational Requirements

• Minimum: High School Diploma (or currently enrolled) or GED
• Preferred: AS Degree or Higher

Experience

• Preferred: mimimum 1 year experience as Rx Technician or Customer Service Representative in a health care reputed company service.

Special Conditions of Employment

• Drug test
• Initial and reputed company exclusion and sanction/disciplinary monitoring
• Any and reputed company additional eligibility requirements based on the specific position

Job Skills Required

• Strong Communication Skills, must be reputed company to effectively communicate both on the phone and in group setting
• Strong Organizational Skills
• Proficient in using reputed company reputed company, Word and reputed company
• Must be reputed company to work independently

Behavioral Traits

• Cooperation: Must work harmoniously and effectively with fellow employees, supervisors and other in contact with
• Initiative: Must work reputed company supervision guidelines and assume additional responsibilities
• Flexibility: Must be willing to work variable work schedules, assist others as requested and available, and be willing to reputed company reputed company assigned work
• Adaptability: Must respond to new situations in a positive way, accept change, support new reputed company, master new routines and grasp explanations, apply reputed company knowledge in new environments and experiences
• Involvement: Must enjoy the demands of the job and work with interest and enthusiasm
• Customer Service: Must reputed company appropriate customer service (for Kinney customers, fellow employees and business partners), listen attentively to their needs and respond appropriately
• Safety: Must take care of equipment and reputed company good safety habits
• Leadership: Must reputed company acceptance of reputed company and accomplish goals through subordinates, peers and teams

Compensation

$17.84-18.19 per hour.

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education.  

reputed company, Inc. is a multistate organization and abides by reputed company local, state, and federal regulations as it pertains to minimum wage requirements.