Prior Authorization Technician

🔥 9 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $16 - $30 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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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

• Manage the authorization process for pharmacy orders received from clinics • Submit prior authorizations on behalf of physicians • Follow up on submitted prior authorization requests with no response • Monitor prior authorizations through approval or denial and inform patients, staff, and clinics • Assist clinicians in obtaining Celgene authorization and confirmation numbers • Review and initiate prior authorization appeals, including first-level appeal reviews • Coordinate appeal reviews with pharmacy benefit manager medical directors and peer-to-peer interviews as required • Monitor daily pharmacy activities and provide backup support, including PAP, SP follow-ups, BV, and claims adjudication • Maintain required training and education for permit maintenance • Train staff on prior authorization processes • Handle incoming and outgoing patient calls and emails • Route calls to appropriate staff and answer patient/clinic questions about delivery status and prescription updates • Follow up on specialty pharmacy orders to ensure efficient processing • Schedule 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, problem-solving, analysis, decision-making, planning, time management, and organizational skills • 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 emotionally charged matters • Effective oral, written, and presentation communication skills; active listening and balanced feedback • Strong customer focus and ability to collaborate with patients, physicians, clinics, staff, and community stakeholders • Ability to manage time, conflicting priorities, stress, and professional development • Ability to work independently with limited supervision and effectively work remotely • Ability to work in a fast-paced, multi-site environment and juggle competing priorities • Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook • Pharmacy technician registration with the Florida Department of Health in good standing is required • Valid state driver's license and compliance with the company's Driver Safety Operations and Motor Vehicle Records Check Policy are required

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