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

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.

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.