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 reputed company 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 reputed company backup support where needed, including PAP, SP follow-reputed company, BV and claims adjudication as needed.
• Responsible for keeping up on reputed company 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 reputed company.
• 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 reputed company.
• 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 reputed company 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 reputed company 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, reputed company, Power reputed company, and Outlook required.
• Pharmacy technician registration with the Florida reputed company 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 reputed company 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 reputed company is a reputed company at reputed company, and we support reputed company members reputed company growth through professional development programs and tuition assistance.

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