Data Entry Specialist - Work That Works

Job Overview

Position: Data Entry Specialist
Pay: $15.50
Shift Information: 1^st shift – Hours are flexible. Any time between 7:00am – 6:00pm
Position Description: The Clinical Data Specialist works under the direct supervision of the licensed pharmacist on duty during day-to-day operations. The Clinical Data Specialist will perform technical functions in supporting the daily operations of MedOne Clinical Services.

Essential Duties:

• Initiate Prior Authorization requests
• Review incoming Prior Authorization documentation for completeness
• Prepare clinical review documentation for review by a pharmacist
• Communicate clinical review decision to pharmacies and providers
• File completed Prior Authorization documentation
• Enter Clinical Review determination into the claims processing system(s)
• Communicate the status of Clinical Reviews with patients
• Update Clinical Authorization Criteria and Clinical Review Request Forms under the direction of a pharmacist