Remote Call Center Clinical Coordinator Jobs in Iowa

You will determine appropriateness for medications and communicate decision to physicians, physician`s office staff, medical management staff and/or pharmacists.

For CPTs assigned to work the fax queue, responsibilities will also include:

Must have an active pharmacy technician licensure or registration in accordance with state requirements.

Active Pharmacist license supersedes requirement for CPT and/or PTCB.

Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.

Excellent written and verbal communication skills.

You will determine appropriateness for medications and communicate decision to physicians, physician`s office staff, medical management staff and/or pharmacists.

For CPTs assigned to work the fax queue, responsibilities will also include:

Must have an active pharmacy technician licensure or registration in accordance with state requirements.

In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).

Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.

Excellent written and verbal communication skills.

Typically has the following skills or abilities:

Operational knowledge of managed care or healthcare plans, team members, and clinical staff

Computer literate and proficient in Microsoft Office and data management systems

Experience with HEDIS activity coordination and working with Managed, Acute, Provider Care environment

Responsible for informing members regarding the program benefits

1-3 years of call center experience

We welcome 100% remote work for residents who live within a commutable distance of Renton, WA.

Required qualifications for this position include:

Preferred qualifications for this position include:

Check out our benefits page for more information about our Benefits and Rewards.

Assure that an integrated approach to the patients' care coordination is fulfilled

Perform all duties in a manner that promotes team concept and reflects the Sisters of Providence mission and philosophy.