Prior Authorization Technician

Zangmeister Cancer Center; United States; A distancia; USD 22.000 - 42.000; Jornada completa

Descripción de la vacante

Zangmeister Cancer Center is seeking a Prior Authorization Technician for a remote role in the United States. The position involves managing prior authorizations for pharmacy orders and assisting clinicians with authorizations and related processes.

Responsibilities include follow-ups, appeals coordination, and providing backup support to pharmacy staff, while ensuring timely communication with patients and clinics. Different training and compliance duties are also outlined.

Formación

• High school diploma or GED required.
• Medical terminology and attention to detail required.
• Pharmacy technician registration with the Florida Dept of Health in good standing required.

Responsabilidades

• Submit and monitor prior authorizations for physician orders.
• Follow up on submitted PA requests and inform patients and staff as needed.
• Assist clinicians with Celgene authorization and confirmation numbers.

Conocimientos

Medical terminology

Attention to detail

Educación

High school diploma or GED

Pharmacy technician registration (FL DoH)

Descripción del empleo

Prior Authorization Technician### Prior Authorization TechnicianApply: United States: Full time: Posted 2 Days Ago: JR7473**Location:**Remote Position**Hiring Range:**$16.00 - $30.21# **Position Summary**The Prior Authorization Technician shall be responsible for the authorization process of orders coming into the Pharmacy from AON 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** **Education** * High school diploma, GED or equivalent education is required **Minimum Relevant Experience** * Minimum of two years’ experience in Retail/Specialty/Hospital Pharmacy as a Pharmacy Technician preferred; medical terminology and attention to detail 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%