Prior Authorization Technician

**Location:** AON Pharmacy **Pay Range:** $18.93 - $31.56 **Position Summary:**  ====================== The technician shall be responsible for the authorization process of orders coming into the Pharmacy from clinics **Key Performance Areas:** ========================== **_KPA 1 – Prior and REMS Authorizations_** * 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. **_KPA 2 –_** **_Appeals_** * 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. **_KPA 3 – Backup to pharmacy staff_** * Will monitor daily activities and provide backup support where needed, including PAP, SP follow-ups, BV and claims adjudication as needed. **_KPA 4 – Education & Training_** * Responsible for keeping up on all applicable training and education for maintenance of permit. * Will train staff on PA processes. **_KPA 5 – Customer Service_** * 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. **Position Qualifications/Requirements:** ========================================= **Education**: High school diploma, GED or equivalent education is required **Previous Experience**: Minimum of two years’ experience in Retail/Specialty/Hospital Pharmacy as a Pharmacy Technician preferred; medical terminology and attention to detail required. **Core Capabilities**: * **Analysis & Critical Thinking:** 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. * **Interpersonal Effectiveness:** 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. * **Communication Skills:** Effective communication skills (oral, written, presentation), is an active listener, and effectively provides balanced feedback. * **Customer Service & Organizational Awareness:** 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. * **Self-Management:** 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. * **Computer Skills:** * Proficiency in MS Office Word, Excel, Power Point, and Outlook required. **Certifications/Licenses**: * 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. **Travel**:   0% **Standard Work Days/Hours** : Monday to Friday 9:00 AM – 5:30 PM.  #AONA #LI-ONSITE