Prior Authorization Technician

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $18 - $31 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 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 orders coming into the Pharmacy from clinics • Submit prior authorizations on behalf of physicians • Follow up on submitted prior authorization requests • Monitor prior authorizations through approval or denial and inform patients, staff, and clinics • Assist clinicians with 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 • Monitor daily activities and provide backup support for PAP, specialty pharmacy follow-ups, benefits verification, and claims adjudication • Maintain applicable 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 and clinic questions • 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 organizational awareness • Ability to manage time, conflicting priorities, stress, and professional development • Self-motivated, able to work independently with limited supervision • Ability to work remotely effectively • Ability to work in a fast-paced, multi-site environment and juggle competing priorities • Proficiency in MS Office Word, Excel, PowerPoint, and Outlook • Pharmacy technician registration with the Florida Department of Health in good standing required • Valid state driver's license required for travel to satellite offices and offsite meetings • Compliance with the company Driver Safety Operations and Motor Vehicle Records Check Policy required • Monday to Friday, 9:00 AM–5:30 PM