Prior-Authorization Technician- Pharmacy

Medical Faculty Associates, Inc.

3d

About The Position

The Prior Authorization Technician will process prior authorizations and locate
foundation assistance for GW Medical Faculty Associates providers.

Requirements

• High school diploma or an equivalent combination of education, training, and experience
• A valid and active DC, MD, or VA pharmacy license is required.
• A minimum of 2 years of Pharmacy Technician experience in retail, specialty, or mail-order pharmacy and a pharmacy license ( Must have a DC MD or VA active pharmacy license
• A minimum of 2 years in an alternative healthcare role (i.e. Certified Nurse Assistant, Medical Assistant, Licensed Practical Nurse) will be considered
• Stand, walk, bend, twist, and reach for long periods of time in a clinical setting.
• Must be able to occasionally lift or carry and push or pull up to 100 lbs. as part of the role
• Regularly exposed to healthcare settings that may require personal protective equipment
• Requires manual dexterity to operate a computer keyboard, calculator, copier machine, and other equipment.

Responsibilities

• Initiate prior authorizations for medications and work with providers on completion
• Confirm patient demographics are accurate and insurance information is correct
• Communicate with the clinical team and patients about prior authorization status and provide updates accordingly
• Identify patient foundation assistance and manufacturer copay assistance programs
• Follow up with the pharmacy to ensure the medication is in process after approval received
• Process prior authorization renewals
• Work with the provider to resolve prior authorization denials, peer-to-peer reviews, and denials
• At all times, maintain a courteous interaction with patients, visitors, departments, and medical personnel
• Refer issues that require professional judgment to a pharmacist for follow-up
• Other duties assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees