CURRENT SPECTRUM HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Spectrum Health team members only.

Job Description

Job Summary
This position is a supportive role for the systems ambulatory clinics. The tasks for this position will include, but are not limited to, completing pre and/or prior authorizations, assisting with patient assistance programs, scheduling patients from provider referrals or other registries, working with insurance companies to review coverages, communicating with patients and clinical staff, and managing parts of the medication use cycle. There will be additional opportunities to think innovatively and collaborate on projects with other departments and within our own department.

Essential Functions

• Pull, transcribe, and organize clinical information from patient charts into third party platforms or navigators.
• Complete authorization requests in a timely and efficient manor without compromising quality, to ensure patients receive their care as scheduled.
• Identify and schedule appointments for pharmacists from provider referrals, quality reports, and other available registries.
• Demonstrate the ability to utilize all payer websites to assist verifying patient’s coordination of benefits and authorization requirements.
• Assist with inventory and medication use cycle tasks if in clinic.
• Organize and track data for multiple payer programs and service lines.
• Communicate positively and effectively with patients, colleagues, and clinic staff.
• Adhere to all department procedures, guidelines, and standard work with the ability to utilize resources appropriately.

Qualifications

• Required High School Diploma or equivalent
• Preferred Associate's Degree
• 1 year of relevant experience Retail or Ambulatory Pharmacy Experience Preferred
• 1 year of relevant experience Prior Authorization Experience or Insurance Navigation Preferred
• 1 year of relevant experience Epic Experience Preferred
• LIC-Pharmacist Intern - STATE_MI State of Michigan Upon Hire required Or
• LIC-Pharmacy Technician Temp - STATE_MI State of Michigan Upon Hire required And
• LIC-Pharmacy Technician - STATE_MI State of Michigan 90 Days required
• CRT-Pharmacy Technician, Certified (CPHT) - PTCB Pharmacy Technician Certification Board Excludes - LIC - Pharmacist Intern 90 Days required Or
• CRT-Exam for the Certification of Pharmacy Technicians (ExCPT) - NHA National Healthcareer Association Excludes - LIC - Pharmacist Intern 90 Days required

Primary Location

SITE - Gas Light Village - 2249 Wealthy - Grand Rapids

Department Name

Family Medicine - Gaslight

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8:30/5:00 pm

Days Worked

Monday through Friday

Weekend Frequency

N/A

Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member’s job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected

category. See more here.