Authorization Specialist
3 days ago
We are seeking a highly skilled and experienced Authorization Lead Pharmacy Technician to join our team at UCLA Health. This role will play a critical part in improving patient access to treatment and adherence to medically necessary pharmaceuticals.
Key Responsibilities- Manage patient insurance benefits and utilize established patient assistance programs to ensure timely access to treatment.
- Train and mentor community practice authorization coordinators on Hematology/Oncology standard of care and research authorizations clearance.
- Work closely with the Manager and Supervisor to provide ongoing training and support to existing staff members.
- Serve as a resource for all authorization coordinators and community practice managers, providing guidance and support as needed.
- Liaise between medical staff, insurance providers, and patients to facilitate and coordinate authorization for all medications related to patient care.
- Pharmacy Technician License in the State of California in good standing.
- Ability to interpret medical information required to perform prior authorizations.
- Ability to interpret medication information required to perform patient assistance.
- Ability to interpret medical information required to perform second-level appeals.
- Ability to retrieve, interpret, and utilize departmental and third-party insurance policies and procedures effectively.
- Ability to speak with persons from various social, cultural, economic, and educational backgrounds to obtain information and explain the authorization process.
- Working knowledge of the UCLA billing codes, their restrictions, and applications to individual patient and clinic orders.
- Advanced technical computer skills, including proficiency in CareConnect, Microsoft Office Applications, and UCLA-specific software.
- Bachelor's degree.
- 2 years of oncology-related experience.
We welcome all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin, or disabilities, and we proudly look to each person's unique achievements and experiences to further set us apart.
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