Prior Authorization & Patient Assistance Prior Authorization Specialist - A at The US Oncology Network

Dallas, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

07 Jul, 26

Salary

0.0

Posted On

08 Apr, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Prior authorization, Patient assistance, Pharmacy operations, Insurance verification, Medical terminology, HIPAA compliance, Documentation, Retail pharmacy, I.V. skills, Insurance eligibility, Patient triage, Medication dispensing

Industry

Hospitals and Health Care

Description

Overview Texas Oncology is looking for a full-time Remote Senior Pharmacy Technician - Prior Authorization & Patient Assistance to join our team! This position will support all Texas Oncology locations. Texas Oncology is the largest community oncology provider in the country and has approximately 600+ providers in 300+ sites across Texas and southeastern Oklahoma. Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today—at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve “More breakthroughs. More victories.” ® in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis. Why work for us? Come join our team that is responsible for helping lead Texas Oncology in treating more patient diagnosed with cancer than any other provider in Texas. We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers. What does the Pharmacy Technician - Prior Authorization & Patient Assistance do? The Pharmacy Technician - Prior Authorization & Patient Assistance position is responsible for obtaining pre-authorizations for self-administered medications dispensed in the retail setting and triages patient calls to physicians, coordinates patient in network pharmacy. Reviews insurance for medically integrated pharmacy dispense per house rule. Supports and adheres to US Oncology Compliance Program, to include the Code of Ethics Business Standards. Responsibilities The essential duties and responsibilities (included but not limited to): Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements. Request, track, follow up and obtain prior authorization status from Pharmacy Prior Authorization Specialist. Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations. Communicate any insurance changes or trends among team. Maintains a level of productivity suitable for the department. Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format. Other duties as assigned Qualifications The ideal candidate will have the following background and experience: High School diploma or equivalent. Minimum five (5) to seven years of experience in a pharmacy with I.V. skills. Certified Pharmacy Technician certificate or State Pharmacy Board requirement recommended. Previous experience in a clinic setting preferred Extensive retail experience is strongly preferred. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. Requires sitting for long periods of time. Some bending and stretching are required. Adequate finger dexterity and feeling to perform keyboarding and substantial repetitive motions involving the wrists, hands and/or fingers. Requires vision and hearing corrected to normal range. Must be able to view computer screens and printed material accurately. Occasionally lifts and carries items weighing up to 40 lbs. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform essential functions. The work environment is typical of an office setting.

Responsibilities

The specialist is responsible for obtaining pre-authorizations for self-administered medications and triaging patient calls to physicians. They also coordinate with in-network pharmacies and ensure all insurance eligibility and benefit requirements are verified.