Onsite Medication Access & Prior Authorization Specialist

UCHealth; Aurora (CO); On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

3-Year Incentive Bonus

Annual Merit Pay Increase

Market reviews

Health, dental and vision coverage

Job summary

UCHealth is seeking a Pharmacy Authorization Center technician to provide access to medications by completing prior authorization requests, managing co-pay programs and assisting with health insurance enrollment. This onsite role in Aurora requires PHAT or CPhT certification and 2 years of technician experience or 1 year in prior authorizations.

The position involves collaborating with clinicians and patients to ensure timely processing and accurate documentation while maintaining compliance

Qualifications

• High School diploma or GED.
• PHAT certification from State Board of Pharmacy.
• Pharmacy Technician Certification (CPhT) by PTCB or equivalent.
• Preferred: 2 years of Pharmacy Technician experience or 1 year of experience performing prior authorizations or refill renewals.

Responsibilities

• Coordinates with third-party insurance, clinical staff, and patients to process prior authorization requests within prescribed timelines.
• Compiles clinical documentation for prior authorizations (progress notes, labs, diagnoses codes, ASO criteria, doctor visits).
• Enrolls eligible patients into manufacturer patient assistance and co-pay programs and informs about Health Care Exchanges.
• Records patients' home medication lists, allergies, immunizations and medical diagnoses.

Skills

Prior authorization processing

Co-pay programs enrollment

Patient assistance enrollment

Coordination with clinicians

Education

High School diploma or GED

PHAT certification

CPhT certification

Job description

UCHealth is seeking a Pharmacy Authorization Center technician to provide access to medications by completing prior authorization requests, managing co-pay programs and assisting with health insurance enrollment. This onsite role in Aurora requires PHAT or CPhT certification and 2 years of technician experience or 1 year in prior authorizations.

The position involves collaborating with clinicians and patients to ensure timely processing and accurate documentation while maintaining compliance