Pharmacy Technician, Prior Authorization and Benefits Support

Cencora•Marysville, CA

3d•$74,000 - $105,820•Onsite

About The Position

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today! This role is 100% on site at Adventist Health Clinic in Yuba City, Ca. Role may include remotely supporting other sites throughout the system. The Pharmacy Technician, Prior Authorization and Benefits Support will serve as the primary point of contact for patient services onsite at a health system client. The role involves interacting daily with office staff to provide patient access services, offering communication and guidance to ensure patients receive timely access to medication therapy. It requires establishing and maintaining strong relationships with the client, demonstrating accountability for service delivery. The position provides subject matter expertise and consults directly with physician clinics on the health system’s preferred patient referral process. Collaboration with the customer is key to support business development and execute on a marketing plan that expands health system’s services and increases specialty prescription capture rate. The role independently, and in collaboration with the centralized Patient Service team, facilitates benefits verification and prior authorizations services for patients.

Requirements

A minimum of four (4) years in fields such as Benefit Verification, Prior Authorization, Medical Billing, Medical Office Administration, Social Work, Medical Records, Patient Financial Services, Pharmacy, Nursing or similar vocations generally obtained through completion of a 2 to 4-year degree.
Pharmacy technician certification with a national technical certification organization, such as Pharmacy Technician Certification Board (PTCB) or Certified Medical Assistant (CMA) or other comparable national certification or comparable state certification required at time of hire.
High degree of accountability and ability to work independently in a self-directed fashion
Highly effective communicate skills, effectively both orally and in writing
Ability to work quickly and accurately under time and volume constraints
Strong interpersonal skills and high emotional intelligence
Ability to resolve patient issues quickly and creatively to improve customer satisfaction
Familiarity with pharmaceutical products, services and drug interactions
Strong organizational skills; attention to detail
Excellent analytical skills

Nice To Haves

Prefer prior client account management experience or other relevant healthcare experience.
Knowledge of healthcare insurance, prior authorization and/or coding is preferred.
May travel to multiple clinics to perform responsibilities.

Responsibilities

Navigate the health care system and its component parts to achieve prescription fulfillment and improved patient outcomes.
Provides advice as the subject matter expert to client sponsors and collaborate with stakeholders on opportunities to expand the health system’s services and increase revenue by developing business plans and execute the marketing plan to enhance pull through op
Assess, develop and recommend the best method of providing specialty prescription pharmacy services to support patients.
Serve as the initial contact for all identified client specialty pharmacy prescriptions.
Responsible for marketing, prior authorization, EMR, documentation etc.
Responsible for influencing physician and clinic staff to refer patients to health systems preferred specialty pharmacy provider through education and excellent customer service.
Promote the value and benefits of the preferred pharmacy.
Continue to facilitate patient referral in a timely manner and delivers exceptional client service to clinic staff and clinic patients.
Serve as primary point of contact responsible for service delivery and serve as the “face to the customer”.
Develop and maintain close relationships with clinic staff, physician, pharmacy and hospital contacts through face to face interactions.
Provide consultation or expert advice to management.
Build trust and confidence in patient services to increase patient referrals and prescription capture rates.
Support customer relationship by delivering professional presentations and facilitating educational meetings as needed, to clinic staff, physician, pharmacy and hospital contacts.
Use onsite presence to consult and implement process improvements to integrate services for better customer experience for physician, clinic staff, patient and pharmacy.
Work extended hours when needed to ensure patients receive their medication and to complete business plan objectives.
Provide backup coverage to support clients and patients in the event of absence of other assigned resources.
Perform other related duties as assigned.