Prior Authorization Technician

American Oncology Network, Inc.; Fort Myers (FL); Hybrid; USD 26,077 - 43,477; Full time

Job summary

American Oncology Network, Inc. is seeking a Pharmacy Technician to manage the PA authorization process for orders from clinics in a fast-paced, multi-site pharmacy environment in Fort Myers, FL.

You will handle prior authorizations, follow-ups, and patient communications to ensure timely delivery and status updates. You will also assist with appeals, provide backup support, and train staff on PA procedures while maintaining regulatory permits and compliance.

Qualifications

• High school diploma or GED required.
• Minimum of two years’ experience in Retail/Specialty/Hospital Pharmacy as a Pharmacy Technician preferred; medical terminology and attention to detail required.
• Proficiency in MS Office Word, Excel, PowerPoint, and Outlook.

Responsibilities

• Submit prior authorizations on behalf of physicians and monitor each PA through approval/denial progression.
• Initiate and coordinate first-level appeal reviews when needed.
• Provide backup support to pharmacy staff and assist with PAP, SP follow-ups and claims adjudication.
• Educate and train staff on PA processes and maintain required permits.
• Handle incoming/outgoing calls and emails from patients, provide delivery updates and Rx status.

Skills

Prior authorizations

Customer service

Attention to detail

Communication

Time management

Education

High school diploma or GED

Tools

MS Office

Job description

Location:AON PharmacyPay Range:$18.93 - $31.56Position Summary:The technician shall be responsible for the authorization process of orders coming into the Pharmacy from clinicsKey Performance Areas:KPA 1 – Prior and REMS AuthorizationsSubmit prior authorizations on behalf of physiciansFollow up on submitted PA requests when no response is receivedMonitor 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 – AppealsWill 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 staffWill monitor daily activities and provide backup support where needed, including PAP, SP follow-ups, BV and claims adjudication as needed.KPA 4 – Education & TrainingResponsible for keeping up on all applicable training and education for maintenance of permit.Will train staff on PA processes.KPA 5 – Customer ServiceIncoming 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 requiredPrevious 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