Prior Authorization Technician

American Oncology Network • Urbana, IL

1d • Remote

About The Position

The technician shall be responsible for the authorization process of orders coming into the Pharmacy from clinics. American Oncology Network (AON) is an alliance of physicians and veteran healthcare leaders dedicated to ensuring the long-term success and viability of oncology diagnosis and treatment in community-based settings. It is the fastest growing national network of community oncology practices delivering local access to exceptional cancer care. AON serves its expanding network of partner practices by providing proven practice management expertise. Our employees across the country work together to empower physicians to make cancer care better. By driving integrated, collaborative care, we are proudly helping community oncologists deliver the highest quality care to every patient. Cancer touches everyone. Being able to make a difference in the lives of those fighting this disease is something our employees at AON cherish and never take for granted. A career in oncology offers all sorts of rewards. But working at AON offers employees more than most. As a fast-growing national company, the opportunity to join a national workforce with flexible work options is available.

Requirements

• High school diploma, GED or equivalent education
• Medical terminology
• Attention to detail
• Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management and organizational skills
• Detailed oriented with the ability to exercise independent judgment
• Developed interpersonal skills, emotional intelligence, diplomacy, tact, conflict management, delegation skills, and diversity awareness
• Ability to work effectively with sensitive and confidential material and sometimes emotionally charged matters
• Effective communication skills (oral, written, presentation), is an active listener, and effectively provides balanced feedback
• Strong customer focus
• Ability to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations
• Effectively manages own time, conflicting priorities, self, stress, and professional development
• Self-motivated and self-starter with ability work independently with limited supervision
• Ability to work remotely effectively as required
• Ability to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites
• Proficiency in MS Office Word, Excel, Power Point, and Outlook
• Pharmacy technician registration with the Florida Dept of Health in good standing
• Valid state Driver’s License for travel to satellite offices and offsite meetings
• Compliance with the company Driver Safety Operations and Motor Vehicle Records Check Policy

Nice To Haves

• Minimum of two years’ experience in Retail/Specialty/Hospital Pharmacy as a Pharmacy Technician

Responsibilities

• Submit prior authorizations on behalf of physicians
• Follow up on submitted PA requests when no response is received
• Monitor each PA through the process until approved/denied, and inform patient, staff and clinic as indicated
• Assist the clinicians in obtaining Celgene authorization and confirmation numbers
• Review and initiate prior authorization appeal services to include first level appeal reviews
• Coordinate appeal reviews with Medical Director(s) of pharmacy benefit managers and/or peer-to-peer interviews as required
• Monitor daily activities and provide backup support where needed, including PAP, SP follow-ups, BV and claims adjudication as needed
• Keep up on all applicable training and education for maintenance of permit
• Train staff on PA processes
• Handle incoming and outgoing calls/emails to patients
• Route calls to appropriate staff
• Answer patient/clinic questions regarding delivery status, Rx updates, etc.
• Perform SP follow-up to assure orders are being processed efficiently
• Schedule deliveries

Benefits

• Competitive compensation packages
• Comprehensive health insurance with a robust provider network
• 401k, which offers a 100% match and investment options, available to full-time and part-time staff members
• Generous Paid Time Off (PTO) program
• Opportunity to join a national workforce with flexible work options
• Annual summits providing employees a chance to collaborate with AON peers from across the country
• Professional development programs
• Tuition assistance

What This Job Offers

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