Medication Prior Authorization Specialist I

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🔥 0 minutes ago

🌽 Illinois – Remote

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💵 $24 - $36 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Logo of Advocate Aurora Health

Advocate Aurora Health

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

💰 $10.2M Grant on 2019-08

Healthcare • Healthcare Insurance

Advocate Aurora Health is a leading healthcare organization that operates across various regions including Central Chicagoland, Central Wisconsin, Greater Milwaukee, and more. With a diverse range of career areas such as advanced practice clinicians, behavioral health, nursing, and more, Advocate Aurora Health is committed to helping people live well. The organization offers numerous benefits and opportunities for career advancement, fostering an environment where individuals can thrive and innovate in the healthcare sector. Advocate Aurora Health prioritizes the safety of its candidates and maintains a robust recruitment process to protect sensitive information.

📋 Description

• Complete area-specific work according to standard processes, procedures, and policies • Serve as an expert with equipment and technology in the specialized area • Troubleshoot technical issues in the specialized area • Ensure documents and records are accurate and completed in a timely manner • Support communication and coordination with patients and the care team • Identify quality improvement opportunities to support safe, effective, and efficient services and patient care • Provide input to and support implementation of operational changes, advancements, and site and system standardization • Participate in site or system specialized work teams, committees, and councils as applicable • Comply with legal, regulatory, and accreditation standards • Keep current with changes in the specialized field and collaborate with department leadership to adopt best practices • Maintain updated knowledge and skills and contribute to educating others • Contribute positively to pharmacy department initiatives • Accept task assignments from other pharmacy teammate roles when workload dictates • Operate all equipment necessary to perform the job • Take precautions to avoid needle sticks, cuts, and bruises • Use appropriate PPE to minimize exposure to hazardous agents, body fluids, and communicable diseases

🎯 Requirements

• Registration/Licensure with state board of pharmacy per state of employment requirements • Certification through Pharmacy Technician Certification Board (CPhT) or National Health Career Association (ExCPT) • High school diploma or GED equivalent • For technicians in NC with validating technician responsibilities, an Associate’s Degree in Pharmacy Technology is required • Typically requires 3 years of experience in health care, insurance industry, pharmacy, or medical background • Excellent oral, written, interpersonal, and customer service skills • Must be able to speak and be understood by others to communicate effectively • Critical thinking and problem-solving skills • Basic math skills • Strong background in medical terminology preferred • Organizational skills and analytical ability to prepare reports and reconcile reports correctly • Ability to evaluate and measure customer needs and set clear standards to ensure needs are met • Ability to maintain strict confidentiality • Self-discipline and attention to detail • Working PC knowledge including Microsoft Office Suite (Word, Excel and Outlook), Internet, and general Call Center Systems • Ability to sit, stand, walk, lift, bend, kneel, climb, twist, crawl, reach above shoulders, push a mobile cart of approximately 50 pounds, and lift 35 pounds of material • Functional vision, touch, and hearing • Ability to use required personal protective equipment • Flexibility to travel between pharmacy locations

🏖️ Benefits

• Benefits eligible • Paid Time Off programs • Medical, dental, vision, life, and Short- and Long-Term Disability benefits • Flexible Spending Accounts for eligible health care and dependent care expenses • Adoption assistance • Paid parental leave • Defined contribution retirement plans with employer match • Other financial wellness programs • Educational Assistance Program • Premium pay such as shift and on-call pay based on the teammate's job • Incentive pay for select positions • Opportunity for annual increases based on performance • Competitive compensation • Career development programs • Well-being programs

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