Prior Authorization Specialist Job at Tampa General Hospital
Tampa General Hospital was named the #1 hospital in Tampa Bay by U.S. News & World Report, 2020-2021, and recognized as one of America's Best Hospital's in five medical specialties: Cardiology & Heart Surgery, Diabetes & Endocrinology, Gastroenterology & GI Surgery, Nephrology, and Orthopedics. Tampa General Hospital has been designated a Magnet Hospital by the American Nurses Credentialing Center (ANCC), the highest recognition for nursing excellence, for the fourth consecutive time – an accomplishment that fewer than one percent of hospitals nationwide have earned. TGH is accredited by The Joint Commission and was awarded disease-specific certification in five medical specialties. TGH is also accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). *Air transport provided by Metro Aviation, Inc.
Job Summary
Under general supervision of a licensed pharmacist, the Specialty Pharmacy Prior Authorization Specialist must be able to provide patient care by working with third party pharmacy payers and clinician offices to facilitate approval of medications through prior authorizations. Also includes working with patients and a variety of funding sources to obtain financial assistance. Provide telephone support to patients by navigating through pharmacy system(s) to adjudicate claims, refill medications, and increase medication adherence in patients. Demonstrates the skills necessary to effectively communicate with patients to perform specialty program assessments and medication adherence documentation.
Requires a minimum of 2+ years experience as a pharmacy technician in a retail / Specialty pharmacy setting, or pharmacy benefits manager system, or 2 years prior experience as a prior authorization pharmacy technician. High School Diploma/GED required. Must have and maintain a current registration in the State of Florida as a Pharmacy Technician. Must have and maintain current national certification as a pharmacy technician through the Pharmacy Technician Certification Board (PTCB). Proficiency in Microsoft Word / Excel / Outlook. In the absence of a current State of Florida, Board of Pharmacy issued permit as a Registration Pharmacy Technician, a current/active Pharmacy Intern permit, issued by State of Florida, Board of Pharmacy may be substituted.
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