Pharmacy Technician - Outpatient Prior Authorizations
Pharmacy Technician - Outpatient Prior Authorizations
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Job Description
Overview:
Primarily supports the Hematology/Oncology/Bone Marrow Transplant Clinic. May also support other clinics and operations as needed.
Submissions can be for Medical and/or Pharmacy Benefit.
Interacts with clinics (including Nursing Providers and Pharmacists) pharmacy leadership insurance companies and pharmacy benefit managers. May interact with the hospitals patient accounts revenue cycle and payor relations team as needed.
Job Description Summary:
Job Description:
Essential Functions:
Performs benefits investigation and submits prior authorizations for select medications and clinics within the organization.
Provides support for prior authorization denial management including appeals patient assistance program applications and claims review as needed.
Assist clinic team members and patients/caregivers with medication access to select medications including working with external pharmacies and copay assistance programs as needed.
Gather necessary information to support the medication access process and document clearly and appropriately within the electronic health record.
Collaborate with pharmacy and clinic team members and external stakeholders (e.g. insurance providers) to ensure seamless and effective communication and coordination of care.
Education Requirement:
High school diploma or equivalent.
Licensure Requirement:
Pharmacy technician registration with the Ohio Board of Pharmacy with certificated pharmacy technician registration preferred.
Certifications:
Completion of a pharmacy technician training program or certification by examination as a pharmacy technician (i.e. CPhT ExCPT) prior to start state required.
Skills:
- Effective interpersonal verbal and written communication skills.
- Ability to problem solve and work independently.
Experience:
- Two 2 years of experience as a pharmacy technician in a pharmacy area related to the position preferred.
- Pharmacy or medical billing experience preferred.
Physical Requirements:
OCCASIONALLY: Bend/twist Lifting / Carrying: 1120 lbs Lifting / Carrying: 2140 lbs Pushing / Pulling: 025 lbs Pushing / Pulling: 2640 lbs Squat/kneel
FREQUENTLY: Decision Making Interpreting Data Lifting / Carrying: 010 lbs Problem solving Sitting Standing
CONTINUOUSLY: Audible speech Chemicals/Medications Color vision Computer skills Depth perception Flexing/extending of neck Hand use: grasping gripping turning Hearing acuity Peripheral vision Reaching above shoulder Repetitive hand/arm use Seeing Far/near Walking
Additional Physical Requirements performed but not listed above:
(not specified)
The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified nor is it intended to limit or modify the right of any supervisor to assign direct and control the work of employees under their supervision. EOE M/F/Disability/Vet
Required Experience:
IC
Employment Type
Full-Time
