11560 - Prior Authorization Technician

American Oncology Network

1d•$16 - $30•Onsite

About The Position

The Prior Authorization Technician is responsible for handling authorization processes for orders received by the pharmacy from clinics. The role submits and tracks prior authorization and REMS requests, supports appeal reviews, assists pharmacy staff with backup tasks, maintains required training, and helps train staff on prior authorization processes. The technician also provides customer service to patients and clinics through calls and emails, routes inquiries to appropriate staff, answers questions about delivery status and prescription updates, follows up on specialty pharmacy orders, and schedules deliveries. The position works Monday through Friday, 9:00 AM to 5:30 PM, and may require the ability to work remotely effectively as needed. Travel is listed as 0%.

Requirements

High school diploma, GED, or equivalent education.
Pharmacy technician registration with the Florida Department of Health in good standing.
Valid state driver's license; compliance with the company Driver Safety Operations and Motor Vehicle Records Check Policy is required.
Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.
Medical terminology knowledge and attention to detail.
Critical thinking, problem-solving, analysis, decision-making, planning, time-management, and organizational skills; ability to exercise independent judgment.
Interpersonal skills, emotional intelligence, diplomacy, tact, conflict-management and delegation skills, and diversity awareness.
Ability to handle sensitive and confidential material and emotionally charged matters effectively.
Effective oral, written, and presentation communication skills; active listening and balanced feedback.
Strong customer focus and ability to support quality, performance effectiveness, operational excellence, collaboration, and positive employee, physician, and community relations.
Ability to manage time, competing priorities, stress, and professional development; self-motivated, able to work independently with limited supervision, and able to work remotely effectively as required.
Ability to work effectively in a fast-paced, multi-site environment and manage competing priorities and demands from varied stakeholders and sites.

Nice To Haves

At least two years of experience as a pharmacy technician in a retail, specialty, or hospital pharmacy is preferred.

Responsibilities

Submit prior authorizations on behalf of physicians.
Follow up on submitted prior authorization requests when no response is received.
Monitor prior authorizations through approval or denial and inform patients, staff, and clinics as indicated.
Assist clinicians in obtaining Celgene authorizations and confirmation numbers.
Review and initiate prior authorization appeal services, including first-level appeal reviews.
Coordinate appeal reviews with pharmacy benefit manager medical directors and/or peer-to-peer interviews as required.
Monitor daily activities and provide backup support to pharmacy staff, including PAP, specialty pharmacy follow-ups, benefit verification, and claims adjudication as needed.
Keep current with applicable training and education required to maintain the permit.
Train staff on prior authorization processes.
Handle incoming and outgoing patient calls and emails, route calls to appropriate staff, and answer patient and clinic questions about delivery status and prescription updates.
Follow up on specialty pharmacy orders to help ensure efficient processing.
Schedule deliveries.