Pharmacy Technician with Prior Authorization Specialty Experience

MID WEST PHARMACY; West Hollywood (CA); On-site; USD 28,000 - 40,000; Full time

Job summary

MID WEST PHARMACY in West Hollywood, CA seeks a detail oriented pharmacy technician with prior authorization experience to join our retail and specialty medication team.

You will review patient records, submit PA requests to insurers, maintain records, and assist with shipping and patient communication. Bilingual English/Spanish is a plus.

Qualifications

• Pharmacy technician with prior authorization (PA) experience.
• Experience in retail and specialty medications.
• Strong organizational and communication abilities.
• Able to interact professionally with patients and healthcare professionals.
• Bilingual English/Spanish is an advantage.

Responsibilities

• Review patient records to determine PA need according to guidelines.
• Submit PA requests to insurers using appropriate coding.
• Maintain accurate PA records and follow up on approvals.
• Collaborate with insurers to resolve denied approvals or issues.
• Package and ship medications as required; support other staff as needed.

Skills

Detail oriented

Organizational skills

Communication skills

Multi-tasking

Insurance verification

Professional interaction

Education

Pharmacy technician certification

Tools

DigitalRX

Job description

We are seeking a detail oriented and knowledgeable prior authorization pharmacy tech with experience in retail and specialty medications, to join our retail pharmacy located in West Hollywood, CA, (Mid-West Medical Pharmacy).

The candidate is required to be a pharmacy technician professional who is detail-oriented, with strong organizational, communication and multi tasking skills both written and verbal and be able to interact professionally with patients and healthcare professionals.

You must have strong work ethics, be attentive, be dependable and punctual.

Daily duty includes but is not limited to servicing retail, phone and specialty customers. Reviewing and analyzing patient medical records to determine the need for prior authorization based on clinical guidelines and to submit authorization requests to insurance companies using appropriate coding systems to facilitate the authorization requests to ensure compliance with policy requirements, maintain accurate records of all authorization requests and follow up on pending approvals, collaborate with the health insurance companies to resolve any issues related to denied authorizations or claims. Must have strong understanding of medical terminology, coding and insurance verification processes with healthcare providers, patients, and insurance representatives to facilitate timely approvals for treatments and procedures.

Our staff is required to be courteous to patients, doctors and other staff members. Stay updated on changes in insurance policies, coding practices and healthcare regulations, etc. and to manage multiple tasks effectively including packaging and shipping of medications to be shipped or delivered to patients or doctor offices as required. Other duties include covering for other staff as needed.

This is a full time employment opportunity with starting salary of $25.00 per hour depending on your level of experience. The Pharmacy software being used is DigitalRX but don’t let that stop you from applying as most pharmacy software are very similar.

We are open to the public Monday to Friday 9AM - 5.30PM only,

Being English/Spanish bilingual is an advantage but not essential.

References and other requirements will be checked as well as drug testing as required.

Work Location: In person