Pharmacy Authorization & Financial Coordinator

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  "last_changed_at": "2026-05-30T06:02:22.691Z",
  "active_status": "active"
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  "location": {
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  "list_job": {
    "id": "161",
    "isRemote": null,
    "location": {
      "city": "Edmond",
      "state": "Oklahoma"
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    "atsLocation": {
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    "departmentId": "18404",
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    "jobOpeningName": "Pharmacy Authorization & Financial Coordinator",
    "departmentLabel": "Patient Services",
    "employmentStatusLabel": "Full-Time"
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  "detail_job_opening": {
    "location": {
      "city": "Edmond",
      "state": "Oklahoma",
      "postalCode": "73013",
      "addressCountry": "United States"
    },
    "datePosted": "2025-06-16",
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    "description": "<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\">Oklahoma Arthritis Center (OAC) is an Equal Employment Opportunity employer and considers all applicants without regard to race, religion, color, sex, national origin, age, disability, veteran status, or any other legally protected status.</span></p>\n<p><span style=\"color: #1f497d; font-family: arial, helvetica, sans-serif; font-size: 13px\"> </span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222\">Job Summary:</span></span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 13px\">Working as a part of the Pharmacy Financial Coordinator team, this employee will be responsible for reviewing eligibility and benefits, obtaining required authorizations, communicating patient authorizations outcomes, guiding patients towards appropriate copay assistance needs, and performing all financial coordination functions for ancillary services. Additionally, this team member works closely with providers and other clinic staff to ensure that medications, for which authorizations obtained, were successfully filled by appropriate pharmacy and obtained by patient.  </span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 13px\"><br>Essential Functions:</span></p>\n<ul>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: 'Arial',sans-serif\">Verifies prescription benefits and eligibility. Submits prior authorizations for medications and follows up in a timely manner</span><span style=\"font-family: 'Arial',sans-serif\">.</span></span></li>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: 'Arial',sans-serif\">Reprocesses insurance claims for medications as needed </span></span></li>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: 'Arial',sans-serif\">Communicates with patient on authorization status, outcome, and any individual needs to obtain medication</span><span style=\"font-family: 'Arial',sans-serif\">.</span></span></li>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: 'Arial',sans-serif\">Researches and follows PBM guidelines and policies. </span></span></li>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: 'Arial',sans-serif\">Resolves issues that inhibits patient from obtaining prescription medications ordered by their clinic provider. </span></span></li>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: 'Arial',sans-serif\">Answers phone calls and returns voicemails in a timely manner</span><span style=\"font-family: 'Arial',sans-serif\">.</span></span></li>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: 'Arial',sans-serif\">Resolves assigned tasks in the Electronic Health Record.</span></span></li>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: 'Arial',sans-serif\">Adheres to compliance of OAC policies and standard operating procedures.</span></span></li>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: 'Arial',sans-serif\">Sets the standard for the team by providing excellent patient care.</span></span></li>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: 'Arial',sans-serif\">Offers other team members assistance as needed.</span></span></li>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: 'Arial',sans-serif\">Maintains open and positive lines of communication, and functionality.</span></span></li>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: 'Arial',sans-serif\">Understands and adheres to HIPAA laws and regulations in compliance and patient confidentiality.</span></span></li>\n</ul>\n<p><span style=\"color: red; font-family: Arial, sans-serif; font-size: 13px\"> </span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 13px\">Performance Requirements:</span></p>\n<p><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\"> </span></p>\n<p><span style=\"font-size: 13px\"><span style=\"font-family: Arial, sans-serif\">Knowledge:</span><span style=\"color: #222222; font-family: Arial, sans-serif\"> </span></span></p>\n<ul>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: Arial, sans-serif\">Knowledge of Pharmacy claim rejections and prior authorizations.</span></span></li>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: Arial, sans-serif\">Knowledge of Medicare, Medicaid, and Commercial PBMs</span><span style=\"font-family: Arial, sans-serif\">.</span></span></li>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: Arial, sans-serif\">Knowledge of insurance plan formularies and step therapy guidelines. </span></span></li>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: Arial, sans-serif\">Knowledge of brand/generic conversions and proficient in pharmacy math calculating dose or day supply.</span></span></li>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: Arial, sans-serif\">Knowledge of prescription medications and their FDA approved use and dosage. </span></span></li>\n<li><span style=\"font-size: 13px\"><span style=\"font-family: Arial, sans-serif\">Knowledge of Oklahoma State Pharmacy Board rules and regulations</span><span style=\"color: #222222; font-family: 'Arial',sans-serif\">.</span></span></li>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: Arial, sans-serif\">Proficient in CoverMyMeds, EHR systems, and Microsoft Office</span><span style=\"font-family: Arial, sans-serif\">.</span></span></li>\n</ul>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 13px\"> </span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 13px\">Skills:</span></p>\n<ul>\n<li><span style=\"font-size: 13px\"><span style=\"color: #222222; font-family: 'Arial',sans-serif\">Excellent customer service skills</span><span style=\"font-family: 'Arial',sans-serif\">.</span></span></li>\n<li><span style=\"font-size: 13px\"><span style=\"color: #222222; font-family: 'Arial',sans-serif\">Clinical, analytical and problem solving skills</span><span style=\"font-family: 'Arial',sans-serif\">.</span></span></li>\n<li><span style=\"font-size: 13px\"><span style=\"font-family: Arial, sans-serif\">Ability to recognize, evaluate, and correct errors</span><span style=\"font-family: 'Arial',sans-serif\">.</span></span></li>\n<li><span style=\"font-size: 13px\"><span style=\"font-family: Arial, sans-serif\">Ability to establish priorities and coordinate work activities</span><span style=\"font-family: 'Arial',sans-serif\">.</span></span></li>\n</ul>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 13px\"> </span></p>\n<p><span style=\"font-size: 13px\"><span style=\"font-family: Arial, sans-serif\">Abilities:</span><span style=\"color: #222222; font-family: Arial, sans-serif\"> </span></span></p>\n<ul>\n<li><span style=\"font-size: 13px\"><span style=\"color: #222222; font-family: 'Arial',sans-serif\">Attention to detail</span><span style=\"font-family: 'Arial',sans-serif\">.</span></span></li>\n<li><span style=\"font-size: 13px\"><span style=\"color: #222222; font-family: 'Arial',sans-serif\">Able to type 50 words per minute</span><span style=\"font-family: 'Arial',sans-serif\">.</span></span></li>\n<li><span style=\"font-size: 13px\"><span style=\"color: #222222; font-family: 'Arial',sans-serif\">Office (Outlook, Word, Excel, PowerPoint)</span><span style=\"font-family: 'Arial',sans-serif\">.</span></span></li>\n</ul>\n<p><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\"> </span></p>\n<p><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\">Qualifications:</span></p>\n<ul>\n<li><span style=\"font-size: 13px\"> <span style=\"font-family: 'Arial',sans-serif\">1-<span style=\"font-family: arial, helvetica, sans-serif; font-size: 10pt\">2 years of experience with pharmacy billing, insurance, prior authorizations, medical billing, or a related field preferred.</span></span></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 10pt\"> 2+ years’ experience as Pharmacy Technician.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 10pt\"> High school diploma or equivalent.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 10pt\">Oklahoma pharmacy tech license - required.</span></li>\n<li><span style=\"font-size: 13px\"><span style=\"font-family: 'Arial',sans-serif\">Specialty pharmacy experience – preferred.</span></span></li>\n<li><span style=\"font-size: 13px\"><span style=\"font-family: 'Arial',sans-serif\">Liberty experience – a plus.</span></span></li>\n<li><span style=\"font-size: 13px\"><span style=\"color: #222222; font-family: 'Arial',sans-serif\">EHR system experience.</span></span></li>\n</ul>\n<p><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\"><br>Physical Requirements:</span></p>\n<ul>\n<li><span style=\"font-size: 13px\"><span style=\"color: #222222; font-family: 'Arial',sans-serif\">Ability to work effectively in a fast-paced environment.</span></span></li>\n<li><span style=\"font-size: 13px\"><span style=\"color: #222222; font-family: 'Arial',sans-serif\">Physical ability to sit, perform data entry and view computer screen for long periods at a time.</span></span></li>\n<li><span style=\"font-size: 13px\"><span style=\"color: #222222; font-family: 'Arial',sans-serif\">Occasional exposure to communicable diseases and biohazards.</span></span></li>\n<li><span style=\"font-size: 13px\"><span style=\"color: #222222; font-family: 'Arial',sans-serif\">Daily standing, walking, bending, and maneuvering.</span></span></li>\n<li><span style=\"font-size: 13px\"><span style=\"color: #222222; font-family: 'Arial',sans-serif\">May require lifting up to 50 pounds or more to transfer and/or turn patient with and without assistive devices.</span></span></li>\n</ul>\n<p><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\"><br>Travel:<br>Travel may be required.<br><br></span></p>\n<p><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\">Scheduled Working Hours:<br>Normal work hours are 8:00 a.m. to 5:00 p.m., Monday through Thursday and 8:00 a.m. to 1:00 p.m. on Fridays. Hours may vary depending upon the needs of the position, department, and clinic.</span></p>\n<p><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\"> </span></p>\n<p><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\">Other Duties:</span></p>\n<p><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\">Please note this job description is not designed to cover or to contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change from time to time, with or without notice.</span></p>\n<p><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\"> </span></p>\n<p><span style=\"color: #222222; font-family: Arial, sans-serif; font-size: 13px\">Equipment Operated:</span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 13px\"><span style=\"color: #222222; font-family: Arial, sans-serif\">Standard office equipment including: computers, printers, faxes, copiers, postage machine, etc</span>.</span><br></p>",
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    "jobOpeningShareUrl": "https://okarthritis.bamboohr.com/careers/161",
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