Prior Authorization Technician

Location:AON PharmacyPay Range:$18.93 - $31.56Position Summary:  The technician shall be responsible for the authorization process of orders coming into the Pharmacy from clinicsKey Performance Areas:KPA 1 – Prior and REMS AuthorizationsSubmit prior authorizations on behalf of physiciansFollow up on submitted PA requests when no response is receivedMonitor 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 – AppealsWill 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 staffWill monitor daily activities and provide backup support where needed, including PAP, SP follow-ups, BV and claims adjudication as needed.KPA 4 – Education & TrainingResponsible for keeping up on all applicable training and education for maintenance of permit.Will train staff on PA processes.KPA 5 – Customer ServiceIncoming 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 requiredPrevious 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 requir...