Pharmacy Technician, Prior Authorization and Benefits Support

About the role

The Patient Services Liaison, Prior Authorization and Benefits Support will work onsite at our health system client as the primary point of contact for patient services. This role requires strong communication and collaboration skills to ensure patients receive timely access to medication therapy.

Responsibilities

• Navigate the health care system and its component parts to achieve prescription fulfillment and improved patient outcomes.
• Provides advice as the subject matter expert to client sponsors and collaborate with stakeholders on opportunities to expand the health system's services and increase revenue by developing business plans and executing the marketing plan to enhance pull-through opportunity.
• Affirmatively assess, develop, and recommend the best method of providing specialty prescription pharmacy services to support patients.
• Independently and in partnership with the centralized Patient Service team, facilitate benefits verification and prior authorizations services for patients.
• Responsible for marketing, prior authorization, EMR, documentation, and other related duties as assigned.
• Responsible for influencing physician and clinic staff to refer patients to health system's preferred specialty pharmacy provider through education and excellent customer service.
• Promote the value and benefits of the preferred pharmacy.
• Continue to facilitate patient referral in a timely manner and deliver exceptional client service to clinic staff and clinic patients.
• Serve as the primary point of contact responsible for service delivery and serve as the "face to the customer."
• Develop and maintain close relationships with clinic staff, physician, pharmacy, and hospital contacts through face-to-face interactions.
• Provide consultation or expert advice to management.
• Build trust and confidence in patient services to increase patient referrals and prescription capture rates.
• Support customer relationship by delivering professional presentations and facilitating educational meetings as needed, to clinic staff, physician, pharmacy, and hospital contacts.
• Consult and implement process improvements to integrate services for better customer experience for physician, clinic staff, patient, and pharmacy.
• Perform other related duties as assigned.

Requirements

• A minimum of four (4) years in fields such as Benefit Verification, Prior Authorization, Medical Billing, Medical Office Administration, Social Work, Medical Records, Patient Financial Services, Pharmacy, Nursing or similar vocations generally obtained through completion of a 2 to 4-year degree.
• Prior client account management experience or other relevant healthcare experience.
• Pharmacy technician certification with a national technical certification organization, such as Pharmacy Technician Certification Board (PTCB) or Certified Medical Assistant (CMA) or other comparable national certification or comparable state certification required at time of hire.
• Knowledge of healthcare insurance, prior authorization, and/or coding is preferred.
• May travel to multiple clinics at one site to perform responsibilities.

Qualifications

• High degree of accountability and ability to work independently in a self-directed fashion.
• Highly effective communication skills, effectively both orally and in writing.
• Strong interpersonal skills and high emotional intelligence.
• Ability to work quickly and accurately under time and volume constraints.
• Familiarity with pharmaceutical products, services, and drug interactions.
• Strong organizational skills; attention to detail.
• Excellent analytical skills.

Skills

• High degree of accountability and ability to work independently in a self-directed fashion.
• Highly effective communication skills, effectively both orally and in writing.
• Strong interpersonal skills and high emotional intelligence.
• Ability to work quickly and accurately under time and volume constraints.
• Strong organizational skills; attention to detail.
• Excellent analytical skills.

Benefits

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit https://www.virtualfairhub.com/cencora.

Pay

Full-time Salary Range: $74,000 - 105,820. This Salary Range reflects a National Average for this job. The actual range may vary based on your locale. Ranges in Colorado/California/Washington/New York/Hawaii/Vermont/Minnesota/Massachusetts/Illinois State-specific locations may be up to 10% lower than the minimum salary range, and 12% higher than the maximum salary range.

Schedule

Monday to Friday 8 AM to 5 PM HST.