Pharmacy Tech - Preauthorization Specialist

Hematology Oncology Associates Of Central New York

City of Syracuse (NY)

On-site

USD 29,000 - 34,000

Full time

8 days ago

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Benefits offered by this job

Medical insurance
Dental insurance
Life insurance
Short-term disability
Long-term disability
401k/pension
Tuition reimburse­ment
Holidays
Advanced PTO
Free parking

Job summary

Hematology Oncology Associates of Central New York (HOACNY) is seeking a full-time Pharmacy Tech to join as a Preauthorization Specialist. The role focuses on understanding insurance benefits, obtaining preauthorizations, referrals, and navigating payer requirements across three locations in East Syracuse, Camillus and Auburn.

The ideal candidate will have strong phone skills, problem-solving ability, and teamwork orientation to support efficient approvals for cancer care services.

Qualifications

  • Experience with medical insurance benefits and preauthorization process.
  • Understanding of what patient documentation is needed for approvals.
  • Familiarity with peer-to-peer/appeal processes if approvals fail.

Responsibilities

  • Obtain medical insurance preauthorizations and referrals for services.
  • Navigate insurance company websites and benefits to ensure approvals.
  • Communicate with patients via phone to gather required information.
  • Collaborate in a team to resolve issues and improve processes.

Skills

Preauthorization
Insurance benefits
Phone skills
Team player
Problem solving

Education

High school diploma
Certified Pharmacy Tech

Job description

Job Type

Full-time

Description

Hematology Oncology Associates of CNY (HOACNY), voted one of Central New York's Best Places to Work, is looking for a full time Pharmacy Tech interested in working as a Preauthorization Specialist to join our professional team. HOACNY provides cancer care services, Monday through Friday, day hours at three convenient locations in East Syracuse, Camillus and Auburn.

If you are a highly motivated, team oriented individual looking to make a difference in your career.

The position requires a clear understanding of medical insurance benefits, as well as, experience in obtaining medical insurance benefits, from the various insurance companies, including Medicare. Must have in depth knowledge of the insurance industry preauthorization process, including what patient documentation is needed, to get an approval for the services. Also need to understand the peer to peer/appeal process if the preauthorization is not approved.

We offer a competitive salary based on experience, starting rate is for a new grad those with additional experience will receive a higher salary, including stipends/bonuses, as well as generous benefits package including medical, dental, life, STD, LTD, 401k/pension, tuition reimbursement, holidays, advanced PTO, etc. including convenient free parking.

Salary and Benefits

We offer a competitive salary based on experience, starting rate is for a new grad those with additional experience will receive a higher salary, including stipends/bonuses.

  • medical
  • dental
  • life
  • STD
  • LTD
  • 401k/pension
  • tuition reimbursement
  • holidays
  • advanced PTO
  • convenient free parking
Equal Opportunity

Hematology Oncology Associates of CNY is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. HOA is also committed to compliance with all fair employment practices regarding citizenship and immigration status.

Requirements
  • Experienced with working with patient's insurance benefits, preauthorization's, referrals, as well as, familiarity with navigating the insurance company websites.
  • Excellent phone skills and organization are also necessary.
  • Must be skilled in identifying/investigating problems and arriving at a solution.
  • Needs to work well in a team oriented environment and is professional.
  • Skill in computer applications is necessary.
  • An ability to accept change is required.
  • Preferred but not required to understand the billing claim to insurance companies.
Education

High school level education required

Certificate / License

Certified Pharmacy Tech

Salary Description

$21.00+

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