Onsite - Prior Authorization Technician

American Oncology Network, Inc.; Fort Myers (FL); On-site; USD 22,000 - 42,000; Full time

Job summary

American Oncology Network, Inc. seeks an onsite Prior Authorization Technician in Fort Myers, FL to manage the authorization workflow for pharmacy orders from clinics. You will submit PAs, follow up, and inform patients and staff throughout the process.

The role also covers appeals, staff backups, and training, plus proactive customer service. Requirements include a high school diploma, ≥2 years in Retail/Specialty/Hospital Pharmacy, Florida tech registration, MS Office proficiency, and a

Qualifications

• Two years’ experience in Retail/Specialty/Hospital Pharmacy as a Pharmacy Technician preferred, with attention to detail.
• Florida Pharmacy Technician registration in good standing required.
• Valid Florida driver’s license for travel to satellite offices.

Responsibilities

• Submit prior authorizations for physicians and monitor status through approval/denial.
• Follow up on PA requests when no response is received.
• Coordinate and initiate prior authorization appeals as needed.
• Provide backup support to pharmacy staff and handle routine duties.
• Educate and train staff on PA processes.
• Answer patient and clinic inquiries via calls or emails and schedule deliveries.

Skills

Critical thinking

Interpersonal effectiveness

Communication skills

Customer service

Self-management

Time management

Problem solving

Education

High school diploma or GED

Tools

MS Office Suite

Job description

Onsite - Prior Authorization Technician### Onsite - Prior Authorization TechnicianApply: US- Work From Home: Full time: Posted Today: JR7521**Location:**AON Pharmacy**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.#AONA#LI-ONSITE