• Ensure process efficiency – Communicate with patients to coordinate fertility plans and medications. • Own the patient experience through resolving customer issues and ensuring 100% follow-up to customers while delivering an excellent customer service experience to all patients. • Pay attention to detail – Accurately obtain and enter patient information, including shipping, insurance, and payment details. • Be a team player – Escalate complex claims to the appropriate team for further action. • Accurately perform data entry tasks and enter prescriptions into our system. • Use the knowledge you gain from training, your problem-solving skills and support from your team to accurately process prescription claims so they will be dispensed accurately. • Juggle multiple tasks without sacrificing attention to detail. • Participate in special projects and perform other duties as it pertains to specific contract performance. • Maintain required quality performance standards by delivering excellent customer service, adhering to phone and break schedules, and following established call handling guidelines.

• Works under the direction of the Pharmacy Manager or Supervisor • Serves as a liaison to patients/caregivers, physicians, and other medical staff • Identifies, facilitates, and orders prescription medications • Manages and performs financial/billing/clinical audits • Verifies accurate insurance and demographic information • Coordinates patient encounters utilizing multiple system applications

Role Description Jefferson Healthcare is seeking a highly organized and detail-oriented individual to join our Patient Engagement team as a Referral Coordinator. The ideal candidate for this remote position will possess excellent communication skills and the ability to work well with both patients and healthcare professionals. The primary responsibilities of this position will include: - Managing patient referrals - Ensuring that all necessary information is obtained and communicated to the appropriate parties - Obtaining prior authorization for consultations, procedures, and imaging studies - Maintaining accurate records of all referrals If you are passionate about helping patients receive the care they need, we encourage you to apply for this exciting opportunity. Qualifications - High School degree or equivalent required - Two years of related experience in a medical group office or other related experience required - Experience or education providing basic knowledge of medical terminology required - Epic experience required - Referral experience with external practices required - Experience working with insurance companies and familiarity with submitting authorization requests using online portals required Requirements - 1.0 FTE; 40 hours/week; Day Shift; Remote; No weekends! Benefits - Medical, dental, vision, retirement, PTO and more! - Outstanding benefits, including 5% employer contribution to your retirement account and low insurance premiums for individuals and families. - Benefits package is ranked in the top 1% in the state! - Opportunities for growth and development - Supportive and inclusive work environment - Competitive wages based on experience Company Description Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply. As part of Jefferson Healthcare's commitment to a safe and high-quality workplace, all candidates are required to complete pre-employment screenings, including a criminal background check, and for certain positions, a drug test. Screenings are conducted in accordance with RCW 43.43.815, RCW 43.43.830-.842, and RCW 49.44.240, as well as Jefferson Healthcare's Drug and Alcohol Policy. Roles designated as safety-sensitive may be tested under a standard or modified (non-THC) drug panel, consistent with Washington State law.

• Conduct evidence‑based evaluations of drugs and drug classes using accepted clinical methodologies • Develop and maintain Gainwell TCRs to support recommendations for Preferred Drug List (PDL) management • Apply evidence‑based medicine principles to develop clinical PA recommendations and supporting documentation • Review clinical and pricing data to support the Gainwell clinical PDL team • Review and monitor prescription claims data and prescribing patterns identified as outliers • Contribute to the development of Clinical Services publications produced on a weekly, monthly, quarterly, and as‑needed basis • Support continuous quality improvement by identifying enhancement opportunities • Provide support to client accounts during implementation, maintenance, and ongoing operations • Promote collaboration and alignment across the pharmacy business