PHARMACY TECHNICIAN - PRE AUTHORIZATIONS Job at Alivia Health, Puerto Rico

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  • Alivia Health
  • Puerto Rico

Job Description

Job Description

Job Description

In general, a Pre-Authorization Coordinator will be responsible for the following tasks:

  • Gather ALL necessary information and supporting documents to comply with MCO requests in order to promptly determine treatment Authorization or Denial.
  • Contact insurance companies or other payers to complete prior authorization requirements, identify the co- payment structure and investigate coverage and benefits;
  • Communicating with patients to inform co-pay/deductible amount. and informing about Alivia’s Patient
  • Assistance Programs (PAP). Referring to PAP, as appropriate.
  • Conduct benefit coordination on behalf of patients, when applicable
  • Determine patient eligibility
  • Request authorization modifications, as needed.
  • Index documents in patients’ records in a timely manner
  • Respond to incoming calls with excellent customer service standards and following up with pending tasks (internal or external);
  • Meet management’s production standards, whether quantitative or qualitative

Minimum requirements:

  • Associate Degree Diploma with valid license as Pharmacy Technician is required.
  • Minimum 1-year experience in customer service with knowledge of access processes to the most preferred benefits.
  • Experience working with pre authorization processes or health plans is preferred.

**EEOC F/M/D/V***

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