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Urgent! Prior Authorization Coordinator Job Opening In Reading – Now Hiring Cencora

Prior Authorization Coordinator



Job description

Prior Authorization Coordinator

The Prior Authorization Coordinator is a pharmacy technician who will act as onsite triage for identified patients and prescriptions, including specialty prescriptions, to facilitate authorization, reimbursement and dispensing of medications.
Location: Hybrid, Reading PA
Hours: 8a-4:30p Monday to Friday
Responsibilities:
Prescription Processing: Master navigation of EMR and dispensing software system.
Client Support: Provide excellent customer service to patients and healthcare professionals by answering inquiries, addressing pharmacy-related concerns, and triaging to pharmacist as appropriate.

Manage multiple clinics with diverse needs autonomously.
Benefits Investigation: Verify patient information and insurance coverage.

Work with pharmacy team members and payers to resolve discrepancies and review insurance for affordability.
Prior Authorization Completion: Demonstrate expertise with prior authorization process by gathering necessary documentation, completing forms, and communicating with healthcare providers and insurance companies to obtain approval for medications.
Communication: Display professionalism in all interactions.

Communicate effectively in-person, via telephone, and in other electronic communication.

Document pertinent patient information professionally and succinctly in patient chart, as agreed upon.
Team Collaboration: Act as liaison between patient, pharmacy, and other healthcare providers to ensure smooth workflow and effective communication.
Training: Participate in training of new staff.
Program Continuity: Oversees continuity of pharmacy processes and adherence to clinical and specialty programs and policies.

Participate in quality improvement projects, as deemed relevant and approved by manager.
Continuous Learning: Stay updated with latest developments in practice area.

Participate in training programs and continuing education opportunities to enhance knowledge and skills.
Perform related duties as assigned.
Education: Requires a minimum of two (2)+ years directly related and progressively responsible pharmacy experience; bachelor's degree program preferred.

Pharmacy technician certification with a national technical certification organization, such as Pharmacy Technician Certification Board (PTCB) or other comparable national certification or comparable state certification is preferred.
Skills:
Ability to communicate professionally and effectively both orally and in writing
Ability to work independently and as part of a team in a fast-paced environment.
Exceptional interpersonal and communication skills, with ability to effectively address patient issues and collaborate with healthcare providers.
Familiarity with pharmaceutical products, pharmaceutical terminology, and clinical pharmacy services
Strong organizational skills; attention to detail
Familiarity with prior authorization process and insurance verification.
Good analytical skills.
Commitment to maintaining patient confidentiality and privacy.
Experience in using pharmacy software systems and electronic health records.
Cencora 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.
Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements.

If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email hrsc@cencora.com.

We will make accommodation determinations on a request-by-request basis.


Required Skill Profession

Information And Record Clerks



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