Pharmacy Intake Coordinator
Company: Specialty Care Rx
Location: Orange
Posted on: February 16, 2026
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Job Description:
Job Description Job Description Description: Roles and
Responsibilities Communicate with patients to obtain information
required to process prescriptions, refills, access benefits and
apply charges against co-pay cards. Investigate and verify
insurance benefits and eligibility for pharmacy and medical
third-party claims for assigned cases. Obtain prior authorizations;
initiate requests, track progress, and expedite responses from
insurance carriers and other payers, and maintain contact with
customers to keep them continuously informed. Review for accuracy
of prescribed treatment regimen prior to submission of
authorization Facilitate appeals process between the patient,
physician, and insurance company; compose clinical appeals letters
based of specific denial reason and patient’s clinical presentation
and coordinate appointment of representative document. Complete
status check with insurance company regarding receipt/outcome of
prior authorization and appeal; obtain approval information and
activates copay cards based of eligibility and specific drug
prescribed. Track, report and escalate service issues arising from
requests for authorizations, financial assistance or other issues
that delay service. Notify patients when their prescription has
been transferred and follow up with specialty pharmacy to confirm
the prescription was received (in some jurisdictions) Coordinate
verbal transfer by a pharmacist if specialty pharmacy has no record
of prescription (in some jurisdictions); confirm with patient that
prescription was received from alternate specialty pharmacy.
Complete a series of assessments mandated by either manufacturer
contracts or operations and facilitate patient enrollment with
manufacturer Hubs when required. Document case activity,
communications, and correspondence in computer system to ensure
completeness and accuracy of patient contact records. Ensure that
work activities are conducted in compliance with regulatory
requirements and the organization defined standards and procedures,
and in a manner that provides the best available level of service
and quality. Perform or assist with any operations, as required to
maintain workflow and to meet business needs. Must be able to
perform the essential job functions of this position with or
without reasonable accommodation. Participate in any variety of
meetings and work groups to integrate activities, communicate
issues, obtain approvals, resolve problems, and maintain specified
level of knowledge pertaining to new developments, requirements,
and policies. Report any misconduct, suspicious or unethical
activities to the Compliance Officer Participate in surveys
conducted by authorized inspection agencies. Participate in the
pharmacy’s Performance Improvement program as requested by the
Performance Improvement Coordinator Participate in pharmacy
committees when requested. Participate in in-service education
programs provided by the pharmacy. Perform other related duties as
assigned by supervisor Requirements: High School Diploma or GED
Able to read medical charts. 1 year of proven work experience in a
healthcare Previous intake experience preferred but not required.
Superior telephone customer service skills. Healthcare experience
with a basic understanding of clinical terms and benefits
investigation preferred. Previous experience in a call center
preferred where there is familiarity with metrics and a high level
of accuracy and touches. Strong organization skills as well as
attention to detail. Excellent knowledge of insurance benefit
investigation process and techniques. Demonstrated ability to
manage a range of priorities and meet time commitments. Excellent
data management software skills with demonstrated adaptability to
internal systems. Demonstrated strength in listening, oral and
written communications in English. Pharmacy Technician
Certification preferred but not required. Any additional training
in pharmacy/medical benefit access and requirements, preferred but
not required. CareTend experience preferred, but not required.
Physical Requirements Employees in this role must meet certain
physical demands to perform the essential functions effectively.
Reasonable accommodations will be provided for individuals with
disabilities to ensure they can perform these functions. This
position involves frequent sitting and requires the ability to
communicate effectively through talking and listening.
Occasionally, the role requires standing, walking, and using hands
to operate objects, tools, or controls. The employee may also need
to reach with arms and engage in physical activities such as
bending, kneeling, or crouching. Regularly, the employee must lift
and move items weighing up to 20 pounds, with occasional lifting of
items up to 50 pounds. Visual requirements include the ability to
focus, as well as maintain peripheral vision and depth perception.
EEO Statement We are committed to fostering a diverse and inclusive
workplace. As an Equal Employment Opportunity (EEO) employer, we
ensure that all employment decisions are based on merit,
qualifications, and business needs. We do not discriminate on the
basis of race, color, religion, sex, sexual orientation, gender
identity, national origin, age, disability, veteran status, or any
other legally protected status. We provide a work environment free
from discrimination and harassment, and we celebrate diversity by
creating an inclusive environment for all employees.
Keywords: Specialty Care Rx, La Mirada , Pharmacy Intake Coordinator, Healthcare , Orange, California
