Remote Oncology Prior Authorization Pharmacy Technician

Florida Cancer Specialists & Research Institute, LLC; Florida; Hybrid; USD 28,000 - 39,000; Full time

Benefits offered by this job

Medical coverage

Vision insurance

Dental insurance

401(k) matching

Tuition reimbursement

PTO

Job summary

Florida Cancer Specialists & Research Institute, LLC is seeking a Prior Authorization Specialist to manage prior authorizations and appeals for oral oncology and supportive medications. You will interact with patients, caregivers, and healthcare providers to resolve prescription inquiries and support timely patient care.

The role requires Florida Pharmacy Technician licensure, National certification, and PACS certification preferred.

Qualifications

• High School diploma or GED required.
• Active Registered Florida Pharmacy Technician license and state of residence required.
• Active National Pharmacy Technician Certification required.
• PACS certification preferred.

Responsibilities

• Demonstrates effective communication with internal and external parties.
• Performs clinical reviews of patient charts to complete prior authorizations.
• Process appeals for prior authorization denials with documentation and letters of medical necessity.
• Obtain prior authorization approvals via online sites (Eviti, New Century Health, Cover My Meds) and via fax/phone.
• Interpret or adjust data as needed to support prior authorizations.
• Escalate complex clinical concerns to the appropriate clinician for first-call resolution.
• Adhere to accreditation standards and privacy laws; follow policies and procedures.
• Participate in CQI to identify and report quality events.
• Support pharmacy staff and health care professionals in prescription processing.

Skills

Analysis & Critical Thinking

Interpersonal skills

Verbal & written comms

Time management

Cross-functional collaboration

Education

High school diploma or GED

Active Florida Pharmacy Technician license

Active National Pharmacy Technician Certification

PACS certification preferred

Tools

Eviti

New Century Health

Cover My Meds

Job description

Florida Cancer Specialists & Research Institute, LLC is seeking a Prior Authorization Specialist to manage prior authorizations and appeals for oral oncology and supportive medications. You will interact with patients, caregivers, and healthcare providers to resolve prescription inquiries and support timely patient care.

The role requires Florida Pharmacy Technician licensure, National certification, and PACS certification preferred.