Prior Authorization Technician

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About the position The technician shall be responsible for the authorization process of orders coming into the Pharmacy from clinics 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. • Responsible for assisting the clinicians in obtaining Celgene authorization and confirmation numbers. • Will review and initiate prior authorization appeal services to include first level appeal reviews. • Will coordinate appeal reviews with Medical Director(s) of pharmacy benefit managers and/or peer-to-peer interviews as required. • Will monitor daily activities and provide backup support where needed, including PAP, SP follow-ups, BV and claims adjudication as needed. • Responsible for keeping up on all applicable training and education for maintenance of permit. • Will train staff on PA processes. • Incoming and outgoing calls/emails to patients. • Routing of calls to appropriate staff. • Answering patient/clinic questions regarding delivery status, Rx updates, etc. • SP follow-up to assure orders are being processed efficiently. • Scheduling deliveries. Requirements • High school diploma, GED or equivalent education is required • Minimum of two years’ experience in Retail/Specialty/Hospital Pharmacy as a Pharmacy Technician preferred; medical terminology and attention to detail required. • Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management and organizational skills. Must be 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. Must be able 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 required. • Pharmacy technician registration with the Florida Dept of Health in good standing required. • 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 is required. Benefits • We offer competitive compensation packages that include comprehensive health insurance with a robust provider network. • Our 401k, which offers a 100% match and investment options, is available to full-time and part-time staff members, and we feature a generous Paid Time Off (PTO) program. • As a fast-growing national company, the opportunity to join a national workforce with flexible work options is available. • Promoting from within is a priority at AON, and we support our team members continued growth through professional development programs and tuition assistance. Apply tot his job

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