Remote Pharmacy Benefit Verifier

American Oncology Network, Inc.; Fort Myers (FL); Hybrid; USD 22,000 - 42,000; Full time

Job summary

American Oncology Network, Inc. in Fort Myers, FL is seeking a Pharmacy Technician to support insurance verifications, specialty referrals, and claims resolution.

The role involves processing test claims, assisting patients with copay programs, and coordinating with prior authorization and financial aid teams. The position requires a high school diploma or GED, an active pharmacy technician license, and at least two years of related experience.

Qualifications

• High school education, GED, or equivalent required.
• Active/Unrestrictive Pharmacy Technician permit in the state of residence. Willing to obtain Florida Technician permit (if applicable).
• Two years’ experience in specialty, retail, mail order, or hospital pharmacy as a pharmacy technician is required.

Responsibilities

• Verify Private, Medicaid, and Medicare insurance coverages and determine medication coverage.
• Verify patient eligibility to utilize AON Pharmacy via test claim to their pharmacy insurance.
• Refer prescriptions to our Prior Authorization or Financial Assistance teams based on test claim responses.
• Offer and enroll patients in manufacture copay cards for commercial payors to assist in covering patient financial responsibility.
• Determine network coverage for specialty oncology and hematology medications.
• Document prescription referrals in the EMR system to alert physicians and clinic staff of the appropriate dispensing pharmacy.
• Obtain Limited Distribution Overrides for AON Pharmacy to fill.
• Understand claim responses regarding patient plan structure and educate patients regarding financial responsibility.
• Resolve COB coverage issues with patients and payor to correctly adjudicate claims.
• Review incoming team emails to verify they are answered in a timely and professional manner.

Skills

Attention to detail

Communication skills

Customer service

Time management

Education

High school diploma or GED

Tools

MS Office Word

Excel

PowerPoint

Outlook

Job description

American Oncology Network, Inc. in Fort Myers, FL is seeking a Pharmacy Technician to support insurance verifications, specialty referrals, and claims resolution.

The role involves processing test claims, assisting patients with copay programs, and coordinating with prior authorization and financial aid teams. The position requires a high school diploma or GED, an active pharmacy technician license, and at least two years of related experience.