Pharmacy Technician III Prescription Prior Authorization--HUP, full time

Pharmacy Technician III Prescription Prior Authorization Technician (PAT)

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

The Pharmacy Technician III Prescription Prior Authorization Technician (PAT) is capable of practicing with relative independence under the supervision and guidance of a Registered pharmacist to complete prescription prior authorization requests on behalf of UPHS providers across entities for prescriptions originating from a UPHS outpatient pharmacy. This technician must maintain advanced competency in the skills of the Technician I and Technician II roles of the Ambulatory Pharmacy Department. This technician will operate with a high degree of expertise in but not limited to the following: Identifying appropriate prior authorization forms based on pharmacy benefit investigation completed by outpatient pharmacies in conjunction with Electronic Medical Record (EMR) resources, metric driven data entry of patient demographics, prescription information and prescriber information, appropriate utilization of plan criteria questions to guide data mining efforts within patient charts to complete prescription authorization requests and maintain metric driven communications and documentation of all activity with regards to the prior authorization process within the EMR. The PAT will always demonstrate a high degree of professionalism and will serve as a role model for other technicians and will always be committed to high quality patient care.

Responsibilities:

• Identify appropriate pharmacy benefit manager (PBM) specific prior authorization form to submit prior authorization request. Identify and transcribe contents of prescription (prescriber details & drug details) order from EMR into PBM specific form. Identify and transcribe contents of patient office visits and encounters from patient chart within EMR into PBM specific form.
• Submit the minimum specified number of prior authorizations within the required time frame and follow up on submitted authorization requests within required time frame as outlined within department requirements.
• Communicate all prior authorization submissions, follow ups, approvals and denials to the outpatient pharmacies and clinical staff where appropriate. Follow up on all authorization requests that have not rendered a determination within the specified time periods as outlined within department requirements.
• Maintain accurate internal records of prior authorizations completed as per department requirements
• Collaborate with outpatient pharmacies and clinical pharmacist and provider teams to accurately submit prescription prior authorization requests.
• Maintain current knowledge of various ICD10 diagnosis codes, drugs and utilize service line/disease state specific resources provided by the department where available to submit prescription prior authorizations accurately and efficiently.
• Maintain and stay current on basic technology applications (Microsoft based) required to work independently and remotely.
• Willingly accepts responsibility and demonstrates positive and competent performance
• Collaborates with internal prior authorization team and managers to maintain and promote patient centric solutions and advance departmental goals.

Credentials:

• CPhT- Certified Pharmacy Tech (Required)
• Registered Technician (PA State Board of Pharmacy) (Required)

Education or Equivalent Experience:

• H.S. Diploma/GED (Required)
• 3+ years pharmacy technician experience (Required)
• Prior authorization experience preferred
• Relevant pharmacy technician certification beyond CPhT preferred

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.