11560 - Prior Authorization Technician

American Oncology Partners, PA; United States; On-site; USD 22,000 - 42,000; Full time

Job summary

American Oncology Network (AON) is hiring for an onsite Pharmacy Technician in Fort Myers, FL. You will handle prior authorizations, appeals, and essential pharmacy support in a fast-paced multi-site environment.

Responsibilities include monitoring PA status, training staff, and ensuring timely delivery coordination while maintaining excellent patient service. Florida pharmacy tech registration is required.

Qualifications

• Education: High school diploma, GED or equivalent required.
• Pharmacy technician registration with Florida Dept of Health in good standing required.

Responsibilities

• Submit prior authorizations for physicians and monitor PA progress.
• Review and initiate PA appeals with PBMs or peers as needed.
• Provide backup support to pharmacy staff including PAP, SP follow-ups, BV and claims adjudication.
• Train staff on PA processes and stay updated on permit maintenance.
• Handle incoming/outgoing patient calls and scheduling deliveries.

Skills

Analysis & Critical Thinking

Interpersonal Effectiveness

Communication Skills

Customer Service

Self-Management

Computer Skills

Education

Pharmacy technician registration (Florida Dept of Health)

High school diploma / GED

Tools

MS Office (Word, Excel, PowerPoint, Outlook)

Job description

Location: AON Pharmacy Hiring Range: $16.00 - $30.21 Position is Onsite in Fort Myers, Florida

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.
• Core Capabilities: 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.
• Core Capabilities: Communication Skills
  • Effective communication skills (oral, written, presentation), is an active listener, and effectively provides balanced feedback.
• Core Capabilities: 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.
• Core Capabilities: 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.
• Core Capabilities: 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.

#AONA #LI-ONSITE

About American Oncology Network

American Oncology Network (AON) is an alliance of physicians and veteran healthcare leaders dedicated to ensuring the long-term success and viability of oncology diagnosis and treatment in community-based settings. It is the fastest growing national network of community oncology practices delivering local access to exceptional cancer care. AON serves its expanding network of partner practices by providing proven practice management expertise. Our employees across the country work together to empower physicians to make cancer care better. By driving integrated, collaborative care, we are proudly helping community oncologists deliver the highest quality care to every patient. Cancer touches everyone. Being able to make a difference in the lives of those fighting this disease is something our employees at AON cherish and never take for granted. A career in oncology offers all sorts of rewards. But working at AON offers employees more than most. As a fast-growing national company, the opportunity to join a national workforce with flexible work options is available. We offer competitive compensation packages that include comprehensive health insurance with a robust provider network. Our 401k, which offers a 100% match and investment options, is available to full-time and part-time staff members, and we feature a generous Paid Time Off (PTO) program. At AON, we offer you more than a job, we offer you a career. As a network of independent oncology practices working together as one, we host annual summits each year, providing our employees a chance to collaborate with AON peers from across the country. Promoting from within is a priority at AON, and we support our team members continued growth through professional development programs and tuition assistance.