Pharmacy Authorization Specialist

2 weeks ago


Reading, Pennsylvania, United States Value Apothecaries Inc Full time
Job Summary

We are seeking a highly skilled and detail-oriented Pharmacy Authorization Coordinator to join our team at Value Apothecaries Inc. As a key member of our pharmacy operations team, you will play a critical role in ensuring the smooth authorization and dispensing of medications to our patients.

Key Responsibilities
  • Act as onsite triage for identified patients and prescriptions, including specialty prescriptions, to facilitate authorization, reimbursement, and dispensing of medications.
  • Master navigation of EMR and dispensing software systems to efficiently process prescriptions.
  • Provide exceptional customer service to patients and healthcare professionals by answering inquiries, addressing pharmacy-related concerns, and triaging to pharmacists as appropriate.
  • Verify patient information and insurance coverage to ensure accurate and timely authorization.
  • Work collaboratively with pharmacy team members and payers to resolve discrepancies and review insurance for affordability.
  • Communicate effectively with healthcare providers and insurance companies to obtain approval for medications.
  • Participate in training of new staff and contribute to quality improvement projects to enhance pharmacy processes and adherence to clinical and specialty programs and policies.
  • Stay up-to-date with the latest developments in practice area and participate in training programs and continuing education opportunities to enhance knowledge and skills.
Requirements

To be successful in this role, you will require a minimum of two (2) years of directly related and progressively responsible pharmacy experience, with a bachelor's degree program preferred. Pharmacy technician certification with a national technical certification organization, such as the Pharmacy Technician Certification Board (PTCB) or other comparable national certification or comparable state certification, is also preferred.

What We Offer

We provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness, including medical, dental, and vision care, as well as a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

Equal Employment Opportunity

Value Apothecaries Inc is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status, or membership in any other class protected by federal, state, or local law.



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