Prior Authorization & Patient Assistance Patient Financial Counselor - All TxO Locations

Texas Oncology is looking for a full-time Remote Senior Pharmacy Technician - Prior Authorization & Patient Assistance Financial Counselor to join our team! This position will support all Texas Oncology locations.

Texas Oncology is the largest community oncology provider in the country and has approximately 600+ providers in 300+ sites across Texas and southeastern Oklahoma. Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.

Why work for us?

Come join our team that is responsible for helping lead Texas Oncology in treating more patient diagnosed with cancer than any other provider in Texas. We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.

What does the Pharmacy Technician - Prior Authorization & Patient Assistance Financial Counselor do?

The Pharmacy Technician - Prior Authorization & Patient Assistance Financial Counselor increases patient access and adherence to medically necessary pharmaceuticals by managing patient's insurance benefits and utilizing established patient assistance programs. Provides value-added services by developing client-based relationships with clinical staff and patients, presenting pharmacy service options through customized financial analysis, and facilitating information gathering for program enrollment (patient assistance and indigent programs). Supports and adheres to US Oncology Compliance Program, to include the Code of Ethics Business Standards.

The essential duties and responsibilities (included but not limited to):

• Serves as the liaison between the medical staff, outpatient pharmacies, insurance providers and patients to improve communication and continuity of care.
• Review patient demographics, medication history, and insurance status to identify economic barriers, opportunities for navigating the prescription cycle and eligibility for prescription assistance.
• Improves patient service experience through the provision of benefits investigations.
• Develops a thorough understanding of payer reimbursement and patterns for pharmacy benefits with third parties.
• Serves as primary ambulatory pharmacy resource to facilitate access to prescription claims utilizing the pharmacy benefits. Including but not limited to; formulary/coverage issues, copay issues, patient assistance program eligibility, and other indigent programs.
• Coordinates services with appropriate departments and internal patient care team members regarding patients who may qualify for available resources for paying for medications and facilitates medication access to support discharge preparations.
• Interacts with Texas Oncology clinic employees, including but not limited to pharmacists, clinical staff, fiscal personnel, department managers, access services staff, coding staff, and billing assistants. External contacts include but are not limited to third party payers, manufacturers, prescription benefit management companies, external pharmacy personnel, and referring providers and their support staff.
• Reviews complex insurance situations to educate patients, providers, and clinic staff on how to follow appropriate next steps to access prescriptions for patient's financially speaking.
• Works in a constant state of urgency, compassion, alertness to detail and safe manner.
• Performs other duties as assigned.

The ideal candidate will have the following background and experience:

• High School Diploma or equivalent required
• Minimum five (5) years of medical business office experience with insurance procedures and patient interaction.
• Certified Pharmacy Technician certificate or State Pharmacy Board requirement recommended.
• Previous experience in a clinic setting preferred
• Extensive retail experience is strongly preferred.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. Requires sitting for long periods of time. Some bending and stretching are required. Adequate finger dexterity and feeling to perform keyboarding and substantial repetitive motions involving the wrists, hands and/or fingers. Requires vision and hearing corrected to normal range. Must be able to view computer screens and printed material accurately. Occasionally lifts and carries items weighing up to 40 lbs.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform essential functions. The work environment is typical of an office setting.