Benefit Verification Technician – Lead

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American Oncology Network

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

American Oncology Network is the fastest growing network of community oncology practices dedicated to providing patients with exceptional cancer care close to home. With over 35 years of expertise, AON partners with local practices to improve quality of care, streamline operations, and enhance patient experiences through value-based care and advanced treatment options. Their approach focuses on reducing the administrative burden on physicians while ensuring the long-term viability of community oncology practices.

📋 Description

• Perform Benefit Verification Technician duties while providing day-to-day leadership, workflow coordination, quality oversight, and team training • Coordinate daily workflow, prioritize assignments, monitor work queues, and balance workloads • Serve as the first point of contact and subject matter expert for complex benefit verification questions and escalations • Communicate priorities, operational updates, and workflow changes to the team • Identify workflow inefficiencies and recommend process improvements • Develop training materials and assist with onboarding, training, and coaching • Ensure accurate and timely patient documentation across ePrescribe and pharmacy software systems • Verify private, Medicaid, Medicare, VA, IHS, and other insurance coverage and patient facility coverage • Determine eligibility for AON Pharmacy services, network participation, and claim adjudication results • Refer prescriptions to Prior Authorization, Financial Assistance, Patient Assistance Program, and external specialty pharmacy teams as appropriate • Determine specialty pharmacy network participation, limited distribution requirements, and REMS eligibility • Coordinate specialty pharmacy referrals and communication with patients, providers, clinics, nursing teams, and dispensing pharmacies • Troubleshoot complex claim adjudication, coordination of benefits, payer requirement, and coverage-barrier issues • Obtain Limited Distribution overrides when appropriate and escalate unresolved issues to leadership • Monitor team communications, phone calls, and email responses for professionalism and timeliness • Support coaching, quality audits, performance reviews, standardized workflows, and operational excellence • Verify department compliance training completion and maintain patient and employee confidentiality under HIPAA • Assist with compliant handling of Protected Healthcare Information under federal and state guidelines and accreditation standards • Provide exceptional customer service to patients, providers, clinics, and internal departments

🎯 Requirements

• High school diploma, GED, or equivalent required • Minimum two (2) years of experience as a Pharmacy Technician in a specialty, retail, mail order, or hospital pharmacy • Experience working in a fast-paced, multi-site healthcare environment with competing priorities preferred • Demonstrated ability to work independently with minimal supervision, including remote work when required • Experience supporting operational initiatives, process improvements, and team collaboration preferred • Active, unrestricted Pharmacy Technician permit in the state of residence required • Willingness to obtain a Florida Pharmacy Technician permit, if applicable • Strong critical thinking, analytical, problem-solving, decision-making, and organizational skills • Excellent time management, attention to detail, and independent judgment • Strong interpersonal, collaboration, conflict resolution, delegation, and relationship-building skills • Professionalism, emotional intelligence, diplomacy, discretion, and confidentiality • Effective verbal and written communication skills in English; bilingual skills are a plus • Strong customer service orientation • Ability to manage multiple priorities and adapt in a fast-paced environment • Ability to work independently and as part of a team • Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook • Knowledge of ONCO, ORCA, and CPR+ preferred • Demonstrated commitment to teamwork, operational excellence, continuous improvement, and AON's C.A.R.E. Values • Ability to travel 0-25% • Ability to sit for extended periods, with occasional walking and standing • Ability to use a computer and phone • Ability to perform interpersonal communication and accurate data entry • Understanding of billing and insurance procedures • Must maintain continuing education requirements for licensure • Must maintain confidentiality of patient and employee information under HIPAA

🏖️ Benefits

• Comprehensive health insurance with a robust provider network • 401k with a 100% match and investment options • Generous Paid Time Off (PTO) program • Flexible work options • Annual summits for collaboration with AON peers from across the country • Professional development programs • Tuition assistance • Ergonomic seating • Flexible schedules • Accessible workstations • Screen reader software • Reasonable accommodations for qualified individuals with disabilities