How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Work Shift
Day (United States of America)
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 AU Health 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.
All certifications are required upon hire unless otherwise stated.
Minimum 1 year Pharmacy Technician role or in enhanced benefits or similar role in medical
office/center, Pharmacy Required or
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.
At Wellstar Health System, our mission is to enhance the health and well-being of every person we serve. Nationally ranked and locally recognized for our high-quality care, inclusive culture and world-class doctors and caregivers, Wellstar is one of the largest, most integrated healthcare systems in Georgia.
Our specialists and primary care providers work in a multidisciplinary environment with nearly 30,000 diverse team members throughout our hospitals, health parks and medical offices. Communities can also access our outpatient centers, a pediatric center, nursing centers, and hospice and home care services. We’re proud to be home to the second-largest Emergency Department in the country, as well as being the only system in Georgia operating multiple trauma centers.
We’re also known for our exceptional work culture, featured on the Great Places to Work®, Fortune 100 Best Companies to Work For® and the Seramount Best Company for Multicultural Women® lists. We continue to attract the best and the brightest in healthcare.
At a time when our industry is changing rapidly, Wellstar remains committed to exceeding expectations from our patients and team members, while transforming healthcare delivery. We stand behind our values to serve with compassion, pursue excellence and honor every voice.
