Pharmacy Authorization Specialist, JHS Specialty Pharmacy, Full Time, Days

Jackson Health • Miami, FL

397d

About The Position

The Pharmacy Authorization Specialist at JHS Specialty Pharmacy is responsible for performing essential pharmacy technician duties, including managing prior authorizations, liaising with clinic physicians, conducting medication adherence calls, and supporting business development efforts. This role emphasizes customer service excellence while adhering to relevant regulations and standards.

Requirements

• High school diploma or GED is required.
• PTCB Certification is required.
• Generally requires 0 to 3 years of related experience.
• Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines.
• Ability to communicate effectively in both oral and written form.
• Ability to handle difficult and stressful situations with critical thinking and professional composure.
• Ability to understand and follow instructions.
• Ability to exercise sound and independent judgment.
• Knowledge and skill in use of job appropriate technology and software applications.

Responsibilities

• Accurately inputs new referrals into the computer system and updates information in the computer system.
• Communicates to the Authorization department the necessary information to obtain benefit information, authorization, reauthorization, and reimbursement by emailing and scanning pertinent medical information.
• Addresses insurance issues that require alternate funding.
• Registers and/or enrolls patients with manufacturer reimbursement programs, as needed.
• Follows-up on authorizations to ensure they are achieved prior to dispensing.
• Coordinates with referrals source all necessary information needed to initiate services for new patient referrals.
• Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
• Performs all other related job duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees