11560 - Prior Authorization Technician

American Oncology Network; Kansas; Híbrido; USD 22.000 - 42.000; Jornada completa

Descripción de la vacante

American Oncology Network is seeking a Pharmacy Technician to handle the authorization process for orders from clinics, onsite in Fort Myers, FL. You will manage prior authorizations, follow up on requests, and inform patients and clinics as needed while assisting clinicians with Celgene authorizations.

The role requires a high school diploma or GED and 2+ years in Retail/Specialty/Hospital Pharmacy as a Pharmacy Technician, with strong terminology knowledge and attention to detail.

Formación

• High school diploma or GED or equivalent is required.
• Minimum of two years' experience in Retail/Specialty/Hospital Pharmacy as a Pharmacy Technician preferred; medical terminology and attention to detail required.

Responsabilidades

• Submit prior authorizations on behalf of physicians.
• Follow up on submitted PA requests until a response is received.
• Monitor each PA through the process and inform patients, staff and clinics as indicated.
• Assist clinicians with Celgene authorization and confirmation numbers.
• Initiate and coordinate PA appeals as needed.
• Provide backup support to pharmacy staff and handle related tasks.
• Schedule deliveries and respond to patient inquiries.

Conocimientos

Prior authorizations

Customer service

Communication

Attention to detail

Pharmacy terminology

MS Office

Educación

High school diploma or GED

Herramientas

MS Office

Descripción del empleo

Location

AON Pharmacy
Fort Myers, Florida

Hiring Range

$16.00 - $30.21

Position is Onsite in Fort Myers, Florida

Position Summary

The technician shall be responsible for the authorization process of orders coming into the Pharmacy from clinics

Key Performance Areas

KPA 1 – Prior and REMS Authorizations

• Submit prior authorizations on behalf of physicians
• Follow up on submitted PA requests when no response is received
• Monitor each PA through the process until approved/denied, and inform patient, staff and clinic as indicated.
• Responsible for assisting the clinicians in obtaining Celgene authorization and confirmation numbers.

KPA 2 – Appeals

• Will review and initiate prior authorization appeal services to include first level appeal reviews. Will coordinate appeal reviews with Medical Director(s) of pharmacy benefit managers and/or peer-to-peer interviews as required.

KPA 3 – Backup to pharmacy staff

• Will monitor daily activities and provide backup support where needed, including PAP, SP follow-ups, BV and claims adjudication as needed.

KPA 4 – Education & Training

• Responsible for keeping up on all applicable training and education for maintenance of permit.
• Will train staff on PA processes.

KPA 5 – Customer Service

• Incoming and outgoing calls/emails to patients. Routing of calls to appropriate staff. Answering patient/clinic questions regarding delivery status, Rx updates, etc.
• SP follow-up to assure orders are being processed efficiently.
• Scheduling deliveries.

Position Qualifications/Requirements

Education

High school diploma, GED or equivalent education is required

Previous Experience

Minimum of two years’ experience in Retail/Specialty/Hospital Pharmacy as a Pharmacy Technician preferred; medical terminology and attention to detail required.

Core Capabilities

• Analysis & Critical Thinking: Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management and organizational skills. Must be detailed oriented with the ability to exercise independent judgment.
• Interpersonal Effectiveness: Developed interpersonal skills, emotional intelligence, diplomacy, tact, conflict management, delegation skills, and diversity awareness. Ability to work effectively with sensitive and confidential material and sometimes emotionally charged matters.
• Communication Skills: Effective communication skills (oral, written, presentation), is an active listener, and effectively provides balanced feedback.
• Customer Service & Organizational Awareness: Strong customer focus. Ability to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations.
• Self-Management: Effectively manages own time, conflicting priorities, self, stress, and professional development. Self-motivated and self-starter with ability work independently with limited supervision. Ability to work remotely effectively as required.
• Must be able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites.
• Computer Skills:
• Proficiency in MS Office Word, Excel, Power Point, and Outlook required.

Certifications/Licenses

• Pharmacy technician registration with the Florida Dept of Health in good standing required.
• Valid state Driver’s License for travel to satellite offices and offsite meetings. Compliance with the company Driver Safety Operations and Motor Vehicle Records Check Policy is required.

Travel

0%

Standard Work Days/Hours

Monday to Friday 9:00 AM – 5:30 PM.

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