Prior Authorization Coordinator Pharmacy Technician 1
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Job Location:
Portland, TX - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Department Overview
A Prior Authorization (PA) Coordinator is responsible for obtaining pre-approval from insurance companies for medications ensuring patients receive necessary care without undue financial burden. Key duties include verifying patient insurance benefits collecting and submitting clinical and demographic information communicating with insurance providers to process requests and resolve denials
Function/Duties of Position
Determine patient eligibility and benefits for specific medications bycontacting insurance providers.
Collect required demographic clinical and insurance details from patients physicians and clinical staff to support authorizationrequests.
Initiate submit and track prior authorization requests through various portals and systems ensuring timely processing by the insurance company.
Act as a liaison between patients referring physicians clinical staff and insurance companies to communicate status updates resolve discrepancies and provide requested information.
Follow up on denied claims gather additional documentation and coordinate with the clinical team to file appeals and secure approvals.
- Maintain clear and accurate logs of all authorization attempts communications decisions and approvals in patient records and organizational databases.
Adhere to strict HIPAA regulations and company policies to protectpatient information and ensure the privacy and security of all data.
Required Qualifications
High School Diploma
Active State of Oregon Pharmacy Technician License including the completion and maintenance of job-specific competencies and certifications.
Job Related KnowledgeSkills and Abilities(Competencies):
Must possess computer keyboarding skills.
- Excellent interpersonal communication
- Knowledge base of insurance reimbursement.
- Knowledge of managed care environment.
- Successfully completes initial and continued competencies as required for maintenance of standard of practice legal regulatory compliance and OHSU policies.
Preferred Qualifications
- Formal pharmacy technician training program
- Oregon Board of Pharmacy Certified Technician license
- Inpatient and outpatient hospital pharmacy experience.
- Medical and scientific nomenclature.
Additional Details
The Pharmacy Technician will experience competing demands on their time from patients and/or clinic staff and willneed to effectively multitask. This pharmacy serves a largely indegent patient population so a non-judgemental andcompassionate demeanor is prefferable. Must be able to deliver a consistantly high level of customer service. Possibleexposure to hazardous chemicals and noise. Flexibility in scheduling of shift times. Working Hours: Monday-Friday7:00 am to 7:30 pm Saturdays from 8:30 am to 1:30 pm all technicians participate in fair shar Saturday rotation.
All are welcome
Required Experience:
IC
Key Skills
- Load & Unload
- LTC Pharmacy
- Typing
- Inventory Control
- Customer Service
- Hospital Experience
- Pharmacy Software
- Communication skills
- Math
- Pharmacy Technician Experience
- Order Entry
- Compounding Medications
About Company
OHSU treats the most complex health needs in the region, makes discoveries that save lives and educates next-generation health professionals.
