Prior Authorization Pharmacy Technician

This position facilitates the prior authorization or therapeutic interchange process by coordinating with physicians and facility teammates to ensure that forms are completed and received before prescriptions are filled and that all applicable laws, regulations and company policies related to prescription fulfillment are met.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive.

• Contact insurance companies as required to obtain insurance company preference between Therapeutic Interchange or Prior Authorization; which will be best and most cost efficient for the patient
• Research and resolve prescription adjudication rejections to ensure patients receive medications within established patient service standards
• Prioritize orders in rejection queues; work each order timely and accurately to ensure patient service standards are met
• Contact patients as necessary regarding delays in receiving medication(s)
• Document all actions taken on each order in Note-card system to ensure all teammates know the current status of each order
• Comply with all data entry processing and procedures related to internal systems, databases and applications
• Answer calls received in the insurance phone queues professionally and within established standards
• Maintain accurate and current information as required in spreadsheets for tracking and quality assurance purposes
• Work proactively and positively with teammates to ensure all orders are received and processed timely and accurately each day
• Maintain strict confidentiality of patient information in accordance with HIPAA and company policies
• Other duties as assigned including but not limited to:
• Work overtime with little or no notice as needed
• Attend staff meetings, teleconferences and patient care conferences as needed
• Know, understand, and follow teammate policies and procedures
• Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position.