Specialty Coordinator Enterprise Triage (Hybrid) jobs in United States
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Walgreens · 3 months ago

Specialty Coordinator Enterprise Triage (Hybrid)

Walgreens is a leading retail pharmacy and health services provider, serving nearly 9 million customers daily. The Specialty Coordinator Enterprise Triage role involves processing referrals and coordinating patient orders within the Walgreens enterprise, ensuring prescriptions are routed correctly and efficiently.

Consumer GoodsHealth CarePharmaceuticalRetail
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H1B Sponsor Likelynote

Responsibilities

Records and processes orders or inquiries received by fax, mail, telephone and/or through patient direct contact
Provides timely response to patients' inquiries by telephone and/or email in an in or outbound service center, consistent with service and quality standards
Creates referrals for incoming transfers from across the Walgreens enterprise
May perform Order Processing functions such as data entry, call doctors’ offices for Rx clarifications, and triage calls to a pharmacist as appropriate
Collects insurance information and may performs benefit investigation for triaged referrals, including adding/updating prior authorization information, processing major medical insurance claims and calling payers to update prior authorizations, as appropriate
Coordinates enrolling patients with financial assistance programs, upon patient consent
Coordinates and schedules patient orders, including making calls to patients and doctors’ offices to schedule orders in accordance with site of care requirements
Uses internal tools and Excel documents to determine correct channel or location for a specialty prescription to be filled within the Walgreens enterprise
Serves as a single point of contact for inquires from Walgreens Community Based Specialty pharmacies
Collaborate with cross-functional teams as needed to meet local specialty patient needs (PAP, infusion services, insurance carve-outs)
Respond to inquiries and provide guidance related to Limited Distribution drug access and referral routing across the enterprise
Assists with the reporting of triaged inbound and outbound requests
Other responsibilities as judgment or necessity dictate

Qualification

Pharmacy technician licenseCustomer service experienceMicrosoft Suite proficiencyMedical billing experienceCall center experiencePrior authorizations experience

Required

High school diploma or GED
1 year of work experience in call center environment, health care setting, pharmacy setting, pharmacy benefit, medical billing, or prior authorizations
Intermediate level skill in Microsoft suite of products
Experience providing customer service to internal and external customers, including meeting quality standards of services and evaluation of customer satisfaction
Willing to work mandatory extra hours including evenings, weekend, and/or hours outside of business hours

Preferred

Having an active pharmacy technician license or certification as required by state Board of Pharmacy is highly preferred
1 year of work experience in call center environment, health care setting, pharmacy setting, pharmacy benefit, medical billing, or prior authorizations

Company

Walgreens

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Walgreens is a pharmacy, health, and wellness service center that offers trained infusion nurses and pharmacists to treat patients. It is a sub-organization of Walgreens Boots Alliance.

H1B Sponsorship

Walgreens has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)

Funding

Current Stage
Late Stage
Total Funding
$25M
Key Investors
Biomedical Advanced Research and Development Authority (BARDA)
2024-07-23Grant· $25M

Leadership Team

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Bala Visalatha
Chief Experience and Growth Officer
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Barry Hanen
Director, Payments and Card Services
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Company data provided by crunchbase