Patient Services Advocate/Pharmacy Workers Compensation Specialist
Southwest Medical Associates/Optum Rx
Southwest Medical - Processing task orders to Adult Medicine, OB/GYN and Pediatric Offices. Scheduling a broad range of Radiology Exams. Scheduling OB/GYN, Adult Medicine, Pediatric appointments. Scheduling specialty office appointments such as Gastroenterology, Rheumatology, Cardiology, Endocrinology, and Pain Management. Processing medication refill orders. Reading and processing radiology referrals. Processing referral exams. Taking 72-100 calls daily. Adhering to a matrix system.
Medical Systems - AYS-At Your Service, Genesis soft phone system, Touch Works, Centricity, IDX, Microsoft - Excel, Power Point, Word.
Optum RX - Processing Workers Compensation Claims, Adding Patient Claims to appropriate systems, inbound calls from insurance adjusters, inbound calls from major pharmacy's, authorizing medications, restricting medications, and doctors. Processing prior authorizations to major insurance companies for decisions on medications. Identifying medications and strengths, emailing various teams and insurance companies.