Prior Authorization Technician

American Oncology Partners, PA; United States; On-site; USD 22,000 - 41,000; Full time

Benefits offered by this job

Health insurance

401k with match

Paid Time Off

Job summary

The Priority Authorization Technician shall be responsible for the authorization process of orders coming into the Pharmacy from AON clinics.

American Oncology Network (AON) provides a fast-growing national network of oncology practices with comprehensive benefits and a focus on career development. On-site role with competitive pay supports patients and clinicians in the PA workflow, education, and service delivery.

Qualifications

• High school diploma or GED required.
• Minimum two years of experience in Retail/Specialty/Hospital Pharmacy as a Pharmacy Technician preferred; medical terminology and attention to detail required.
• Pharmacy technician registration with the Florida Dept of Health in good standing required. Valid state Driver’s License for travel.

Responsibilities

• Submit and monitor prior authorizations from physicians for AON clinics.
• Follow up on PA requests and inform patient/staff/clinic as needed.
• Coordinate appeals with Medical Directors and manage backup tasks as required.
• Educate and train staff on PA processes and maintain permits.
• Handle patient calls, route inquiries, and schedule deliveries.

Skills

Attention to detail

Medical terminology

Customer service

Education

High school diploma or GED

Job description

Location: AON Pharmacy 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%

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About American Oncology Network (AON)

American Oncology Network AON is an alliance of physicians and veteran healthcare leaders dedicated to ensuring the long-term success and viability of oncology diagnosis and treatment in community-based settings.

It is the fastest growing national network of community oncology practices delivering local access to exceptional cancer care.

AON serves its expanding network of partner practices by providing proven practice management expertise.

Our employees across the country work together to empower physicians to make cancer care better.

By driving integrated, collaborative care, we are proudly helping community oncologists deliver the highest quality care to every patient.

Cancer touches everyone. Being able to make a difference in the lives of those fighting this disease is something our employees at AON cherish and never take for granted.

A career in oncology offers all sorts of rewards. But working at AON offers employees more than most.

As a fast-growing national company, the opportunity to join a national workforce with flexible work options is available.

We offer competitive compensation packages that include comprehensive health insurance with a robust provider network.

Our 401k, which offers a 100% match and investment options, is available to full-time and part-time staff members, and we feature a generous Paid Time Off (PTO) program.

At AON, we offer you more than a job, we offer you a career.

As a network of independent oncology practices working together as one, we host annual summits each year, providing our employees a chance to collaborate with AON peers from across the country.

Promoting from within is a priority at AON, and we support our team members continued growth through professional development programs and tuition assistance.