PHARMACY TECHNICIAN - PRE AUTHORIZATIONS

Alivia Health

17d

About The Position

In general, a Pre-Authorization Coordinator will be responsible for the following tasks: Gather ALL necessary information and supporting documents to comply with MCO requests in order to promptly determine treatment Authorization or Denial. Contact insurance companies or other payers to complete prior authorization requirements, identify the co- payment structure and investigate coverage and benefits; Communicating with patients to inform co-pay/deductible amount. and informing about Alivia’s Patient Assistance Programs (PAP). Referring to PAP, as appropriate. Conduct benefit coordination on behalf of patients, when applicable Determine patient eligibility Request authorization modifications, as needed. Index documents in patients’ records in a timely manner Respond to incoming calls with excellent customer service standards and following up with pending tasks (internal or external); Meet management’s production standards, whether quantitative or qualitative

Requirements

• Associate Degree Diploma with valid license as Pharmacy Technician is required.
• Minimum 1-year experience in customer service with knowledge of access processes to the most preferred benefits.

Nice To Haves

• Experience working with pre authorization processes or health plans is preferred.

Responsibilities

• Gather ALL necessary information and supporting documents to comply with MCO requests in order to promptly determine treatment Authorization or Denial.
• Contact insurance companies or other payers to complete prior authorization requirements, identify the co- payment structure and investigate coverage and benefits
• Communicating with patients to inform co-pay/deductible amount and informing about Alivia’s Patient Assistance Programs (PAP). Referring to PAP, as appropriate.
• Conduct benefit coordination on behalf of patients, when applicable
• Determine patient eligibility
• Request authorization modifications, as needed.
• Index documents in patients’ records in a timely manner
• Respond to incoming calls with excellent customer service standards and following up with pending tasks (internal or external);
• Meet management’s production standards, whether quantitative or qualitative

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree
• Number of Employees: 251-500 employees