Prior Authorization Technician
American Oncology Network
Summary
The Prior Authorization Technician shall be responsible for the authorization process of orders coming into the Pharmacy from AON clinics.
Job description
Position Summary
The Prior Authorization Technician shall be responsible for the authorization process of orders coming into the Pharmacy from AON clinics.
Key Performance Areas
KPA 1 – Prior and REMS Authorizations
- Submit prior authorizations on behalf of physicians
- Follow up on submitted PA requests when no response is received
- Monitor each PA through the process until approved/denied, and inform patient, staff and clinic as indicated.
- Responsible for assisting the clinicians in obtaining Celgene authorization and confirmation numbers.
KPA 2 – Appeals
- Will review and initiate prior authorization appeal services to include first level appeal reviews. Will coordinate appeal reviews with Medical Director(s) of pharmacy benefit managers and/or peer-to-peer interviews as required.
KPA 3 – Backup to pharmacy staff
- Will monitor daily activities and provide backup support where needed, including PAP, SP follow-ups, BV and claims adjudication as needed.
KPA 4 – Education & Training
- Responsible for keeping up on all applicable training and education for maintenance of permit.
- Will train staff on PA processes.
KPA 5 – Customer Service
- Incoming and outgoing calls/emails to patients. Routing of calls to appropriate staff. Answering patient/clinic questions regarding delivery status, Rx updates, etc.
- SP follow-up to assure orders are being processed efficiently.
- Scheduling deliveries.
Position Qualifications
Education: High school diploma, GED or equivalent education is required
Minimum Relevant Experience: Minimum of two years’ experience in Retail/Specialty/Hospital Pharmacy as a Pharmacy Technician preferred; medical terminology and attention to detail required.
Certifications/Licenses: Pharmacy technician registration with the Florida Dept of Health in good standing required. Valid state Driver’s License for travel to satellite offices and offsite meetings. Compliance with the company Driver Safety Operations and Motor Vehicle Records Check Policy is required.
Travel: 0%
Requirements
- High school diploma, GED or equivalent education is required
- Minimum of two years’ experience in Retail/Specialty/Hospital Pharmacy as a Pharmacy Technician preferred
- Medical terminology required
- Attention to detail required
- Pharmacy technician registration with the Florida Dept of Health in good standing required
- Valid state Driver’s License required
- Compliance with the company Driver Safety Operations and Motor Vehicle Records Check Policy is required
Company overview
American Oncology Network (AON) is one of the nation's fastest-growing networks of community oncology practices, founded in 2018 with headquarters in Fort Myers, Florida. As a physician-led alliance, AON partners with independent oncology practices across the United States to ensure the long-term viability of community-based cancer care. The network represents over 290 providers practicing across 21 states, serving more than 400,000 patients annually through more than 110 clinic locations. AON's innovative model provides comprehensive support services including centralized administrative functions, revenue cycle management, IT infrastructure, and access to ancillary services such as clinical laboratories, pathology, and specialty pharmacy operations. The organization focuses on value-based care delivery, participating in programs like the Enhancing Oncology Model to improve patient outcomes while reducing costs. AON enables community oncologists to maintain practice autonomy while benefiting from economies of scale, advanced clinical resources, and practice management expertise. The network has demonstrated strong growth, reporting $2 billion in annual revenue and expanding access to cutting-edge treatments like bispecific T-cell engager therapies across its national footprint.