先决授权药房技术员
Prior Authorization Pharmacy Technician
工作时间：全职，周一至周五。在繁忙或节假日期间可能需要偶尔轮班加班。
职位目的：
在此职位中，个人将通过消除药物获取障碍来支持患者护理。这包括与保险公司和临床医生办公室合作，通过事先授权促进药物审批，以及与患者和各种资金来源（如基金会或制药公司）合作，为高成本的自付费用获得财务援助。该职位还包括为患者提供电话支持，使用药房发药系统处理索赔，处理处方续方，并促进药物依从性。
职位职责：
- 直接与保险公司沟通以促进药物审批。
- 操作药房系统输入数据、处理测试索赔并制定后续行动计划。
- 在数据库、电子病历和电子邮件系统之间有效沟通，记录患者问题、事先授权状态和财务援助需求。
- 与医生办公室核对处方以确保最佳患者护理。
- 保持完整的患者沟通记录。
- 协助患者管理他们的药房保险索赔。
- 与药师和药房联络员紧密合作，提供协调一致的高质量患者护理体验。
- 通过电话直接与患者沟通，支持药物依从性和合规性。
- 研究和分析信息以支持战略决策。
- 管理、组织和更新数据库系统中的相关数据。
- 将观察结果和建议应用于改进运营、生产率、质量和客户服务标准。
- 识别趋势，解决问题，提出改进建议并实施变更。
- 积极参与流程改进计划。
- 作为增值业务伙伴与组织内各利益相关者合作。
- 通过保持信息的机密性来保护组织价值。
- 通过参加教育机会、阅读专业出版物以及参与专业网络和组织来保持专业知识。
- 可能需要少量本州或跨州的出差。
- 完成其他指派的工作。
薪酬：
此全职小时制职位的薪酬范围为每小时20.00至22.00美元。此外，团队
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Schedule: Full-time, Monday through Friday. Occasional weekend rotation as needed during busy / holiday seasons.
Job Purpose:
In this role, the individual will support patient care by removing barriers to medication access. This includes working with insurance companies and clinician offices to facilitate medication approvals through prior authorizations, as well as collaborating with patients and various funding sources, such as foundations or pharmaceutical manufacturers, to obtain financial assistance for high-cost copays. The role also involves providing phone support to patients, navigating pharmacy dispensing systems to adjudicate claims, process refills, and promoting medication adherence.
Job Duties:
- Communicate directly with insurance companies to facilitate medication approvals.
- Navigate pharmacy operating systems to input data, adjudicate test claims, and develop action plans for follow-up.
- Communicate effectively across databases, electronic medical records, and email systems to document patient concerns, prior authorization status, and financial assistance needs.
- Review prescriptions with physicians’ offices to ensure optimal patient care.
- Maintain complete and accurate records of patient communications.
- Assist patients with managing their pharmacy insurance claims.
- Collaborate closely with pharmacists and pharmacy liaisons to deliver a coordinated, high-quality patient care experience.
- Communicate directly with patients via phone to support medication adherence and compliance.
- Research and analyze information to support strategic decision-making.
- Manage, organize, and update relevant data within database systems.
- Apply observations and recommendations to improve operations, productivity, quality, and customer service standards.
- Identify trends, resolve issues, recommend improvements, and implement changes.
- Participate actively in process improvement initiatives.
- Act as a value-added business partner to stakeholders across the organization.
- Protect organizational value by maintaining confidentiality of information.
- Maintain professional knowledge by participating in educational opportunities, reading professional publications, and engaging in professional networks and organizations.
- Minimal in-state or out-of-state travel may be required.
- Perform other duties as assigned.
Compensation:
The compensation range for this full-time, hourly position is $20.00-$22.00 per hour. In addition, team members are eligible for quarterly bonus opportunities based on the achievement of performance metrics and goals.
Experience/ Education:
Required Licensure/Certification: We are seeking experienced, state registered pharmacy technicians. If the candidate lives in a state that does not require registration (Delaware, Hawaii, New York), then the candidate agrees to obtain a state license withing 6 months of employment and must be nationally certified (PTCB or NHA) at time of hire. In all other cases, PTCB or NHA is highly preferred but not required (must be obtained within 9 months of employment). Should additional licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements.
Years of Experience: Required 1+ years as a Pharmacy Technician
Education: High school diploma or GED required
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Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms. Data entry and computer skills will be evaluated through an assessment as part of the pre-employment process.
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Originally posted on Himalayas