Prior Authorization Technician
About the position
The technician shall be responsible for the authorization process of orders coming into the Pharmacy from clinics
Responsibilities
• 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.
• 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.
• Will monitor daily activities and provide backup support where needed, including PAP, SP follow-ups, BV and claims adjudication as needed.
• Responsible for keeping up on all applicable training and education for maintenance of permit.
• Will train staff on PA processes.
• 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.
Requirements
• High school diploma, GED or equivalent education is required
• Minimum of two years’ experience in Retail/Specialty/Hospital Pharmacy as a Pharmacy Technician preferred; medical terminology and attention to detail required.
• 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.
• 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.
• Effective communication skills (oral, written, presentation), is an active listener, and effectively provides balanced feedback.
• 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.
• 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.
• Proficiency in MS Office Word, Excel, Power Point, and Outlook required.
• 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.
Benefits
• 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.
• As a fast-growing national company, the opportunity to join a national workforce with flexible work options is available.
• Promoting from within is a priority at AON, and we support our team members continued growth through professional development programs and tuition assistance.
Apply Now
Apply Now
The technician shall be responsible for the authorization process of orders coming into the Pharmacy from clinics
Responsibilities
• 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.
• 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.
• Will monitor daily activities and provide backup support where needed, including PAP, SP follow-ups, BV and claims adjudication as needed.
• Responsible for keeping up on all applicable training and education for maintenance of permit.
• Will train staff on PA processes.
• 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.
Requirements
• High school diploma, GED or equivalent education is required
• Minimum of two years’ experience in Retail/Specialty/Hospital Pharmacy as a Pharmacy Technician preferred; medical terminology and attention to detail required.
• 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.
• 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.
• Effective communication skills (oral, written, presentation), is an active listener, and effectively provides balanced feedback.
• 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.
• 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.
• Proficiency in MS Office Word, Excel, Power Point, and Outlook required.
• 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.
Benefits
• 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.
• As a fast-growing national company, the opportunity to join a national workforce with flexible work options is available.
• Promoting from within is a priority at AON, and we support our team members continued growth through professional development programs and tuition assistance.
Apply Now
Apply Now