Pharmacy Authorization Specialist, JHS Specialty Pharmacy Services, Full Time, Days

Department : Jackson Memorial Hospital - JHS Specialty Pharmacy Services

Address : 1611 NW 12th Ave, Miami, Florida, 33136

Shift details : Full-Time, Days

Why Jackson :

Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals.

Summary

The Pharmacy Authorization Specialist must be able to perform at the highest level of pharmacy technician duties, including but not limited to, Prior Authorizations, clinic physician liaison relationships, medication adherence calls, and business development. The Pharmacy Authorization Specialist will ensure that all customer service needs are achieved in a professional manner in accordance with Federal, State, local standards, guidelines and regulations.

Responsibilities

• Accurately inputs new referrals into the computer system and updates information in the computer system.
• Communicates to the Authorization department the necessary information to obtain benefit information, authorization, reauthorization, and reimbursement by emailing and scanning pertinent medical information.
• Addresses insurance issues that require alternate funding. Registers and / or enrolls patients with manufacturer reimbursement programs, as needed.
• Follows-up on authorizations to ensure they are achieved prior to dispensing.
• Coordinates with referrals source all necessary information needed to initiate services for new patient referrals.
• Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
• Performs all other related job duties as assigned.

Experience

Generally requires 0 to 3 years of related experience.

Education

High school diploma is required.

Credentials

Florida Board Registration and Pharmacy Technician (PTCB) Certification are required.

Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.