Pharmacy Tech - Preauthorization Specialist

Hematology-Oncology Associates of CNY; City of Syracuse (NY); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Life/STD/LTD insurance

401k/pension plan

Tuition reimbursement

Holidays & advanced PTO

Free parking

Job summary

Hematology Oncology Associates of CNY (HOACNY) is seeking a full-time Pharmacy Tech to work as a Preauthorization Specialist across three locations in East Syracuse, Camillus, and Auburn. The role focuses on verifying benefits, obtaining preauthorizations, and coordinating with providers and insurers.

The ideal candidate has experience with medical insurance benefits, strong communication skills, and the ability to work in a team-oriented environment.

Qualifications

• Experience with obtaining medical insurance benefits and preauthorization processes.
• Knowledge of peer-to-peer/appeal process for denials.
• Excellent phone and organizational skills.
• Team-oriented and adaptable to change; proficient with computer applications.
• Preferred but not required: understanding billing claims to insurance companies.

Responsibilities

• Assist patients and providers with preauthorizations and referrals.
• Navigate insurance portals and verify patient benefits.
• Communicate clearly with insurers, clinics, and patients.
• Support billing when needed and participate in a collaborative team.

Skills

Insurance benefits knowledge

Preauthorization process

Phone skills

Teamwork

Problem-solving

Computer skills

Education

Certified Pharmacy Technician (CPhT)

High School Diploma

Job description

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.

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

KNOWLEDGE, SKILLS & ABILITIES:

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