Pharmacy Authorization Specialist, Specialty Pharmacy Svcs, Days

3 weeks ago


Miami, Florida, United States Jackson Health Full time

Department: Jackson Memorial Hospital - JHS Specialty Pharmacy Svcs

Address: 1611 NW 12th Ave, Miami, Florida, 33136

Shift details: Full-Time, Days- 8:00am- 4:30pm Mon-Fri

Why Jackson:

Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine.

Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do.

Summary

The Pharmacy Authorization Specialist must be able to perform at the highest level of pharmacy technician duties, including but not limited to, Prior Authorizations, clinic physician liaison relationships, medication adherence calls, and business development. The Pharmacy Authorization Specialist will ensure that all customer service needs are achieved in a professional manner in accordance with Federal, State, local standards, guidelines and regulations.

Responsibilities

  • Accurately inputs new referrals into the computer system and updates information in the computer system.
  • Communicates to the Authorization department the necessary information to obtain benefit information, authorization, reauthorization, and reimbursement by emailing and scanning pertinent medical information.
  • Addresses insurance issues that require alternate funding.
  • Registers and/or enrolls patients with manufacturer reimbursement programs, as needed.
  • Follows-up on authorizations to ensure they are achieved prior to dispensing.
  • Coordinates with referrals source all necessary information needed to initiate services for new patient referrals.
  • Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
  • Performs all other related job duties as assigned.

Experience

Generally requires 0 to 3 years of related experience.

Education

High school diploma is required.

Skill

Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with critical thinking and professional composure. Ability to understand and follow instructions. Ability to exercise sound and independent judgment. Knowledge and skill in use of job appropriate technology and software applications.

Credentials

Registered Pharmacy Technician License
Florida Board Registration and Pharmacy Technician ( PTCB) Certification are required.

· Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.



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