Prior Authorization Technician

About the Role

The successful candidate will have a strong foundation in pharmacy operations, excellent communication skills, and the ability to work independently with minimal supervision. This role offers the opportunity to work remotely and be part of a dynamic team that is committed to delivering exceptional patient care.

American Oncology Network is a leading provider of oncology services, and this role is critical to the company's mission of delivering high-quality, patient-centered care. The Prior Authorization Technician will be an integral part of the team, working closely with pharmacists, clinicians, and other healthcare professionals to ensure that patients receive the best possible care.

What You Will Do

• Submit prior authorizations on behalf of physicians and follow up on submitted requests
• Monitor each prior authorization through the process until approved or denied, and inform patients, staff, and clinics as indicated
• Assist clinicians in obtaining Celgene authorization and confirmation numbers
• Review and initiate prior authorization appeal services, including first-level appeal reviews
• Coordinate appeal reviews with Medical Directors of pharmacy benefit managers and/or peer-to-peer interviews as required
• Provide backup support to pharmacy staff, including PAP, SP follow-ups, BV, and claims adjudication as needed
• Keep up-to-date with all applicable training and education for maintenance of permit
• Train staff on PA processes and procedures
• Handle incoming and outgoing calls/emails to patients, routing calls to appropriate staff as needed
• Answer patient/clinic questions regarding delivery status, Rx updates, and other inquiries
• Schedule deliveries and follow up to ensure orders are being processed efficiently

What We Are Looking For

• High school diploma, GED, or equivalent education required
• Minimum of two years' experience in Retail/Specialty/Hospital Pharmacy as a Pharmacy Technician preferred
• Strong knowledge of medical terminology and attention to detail required
• Analysis and critical thinking skills, including solid problem-solving, decision-making, and time management skills
• Effective communication skills, including oral, written, and presentation skills
• Ability to work effectively with sensitive and confidential material and emotionally charged matters
• Strong customer focus and ability to build an engaging culture of quality and performance effectiveness
• Self-motivated and self-starter with the ability to work independently with limited supervision
• Proficiency in MS Office Word, Excel, PowerPoint, and Outlook required
• Pharmacy technician registration with the Florida Department of Health in good standing required

Nice to Have

• Experience with prior authorization software and systems
• Knowledge of pharmacy benefit management and insurance reimbursement
• Certification as a Certified Pharmacy Technician (CPhT) or equivalent

Benefits and Perks

• Competitive salary and benefits package
• Opportunity to work remotely and be part of a dynamic team
• Comprehensive training and education programs
• Professional development and growth opportunities
• Flexible work arrangements and work-life balance
• Access to cutting-edge technology and software
• Recognition and reward programs for outstanding performance
• Collaborative and supportive team environment

• Make sure to highlight your Excel skills and experience in your application, as this is a key requirement for the role.
• Tailor your resume and cover letter to the specific job requirements, emphasizing your attention to detail and critical thinking skills.
• Research American Oncology Network and the current healthcare landscape to demonstrate your knowledge and passion for the industry.
• Prepare examples of times when you have effectively communicated with patients, staff, and clinicians in a fast-paced environment.
• Be prepared to discuss your experience with prior authorization software and systems, and how you have used these tools to streamline processes and improve patient care.
• Consider obtaining certification as a Certified Pharmacy Technician (CPhT) or equivalent to demonstrate your expertise and commitment to the field.
• Be prepared to negotiate your salary based on your experience and qualifications, and don't be afraid to ask about benefits and perks during the interview process.