University of Virginia

University of Virginia.

  • Charlottesville, VA


  • $1537-2382 per hour.

  • Irreversible.

  • Full-time.

The Pharmacy Medication Authorization Technician examines and acquires medication permissions for all clients. This might consist of permissions covered under the medical advantage in addition to the drug store advantage of a medical insurance strategy. The task might likewise need client eligibility and examination for pharmaceutical medication help programs. This task needs the application and analysis of policies and treatments and making use of independent judgment in a client care setting. The function is to support clients’ access to medications and make sure the minimum loss of earnings and optimal payment for medications. The capability to preserve a working understanding of provider agreements and modifications in addition to department policies and treatments is needed. The Pharmacy Medication Authorization Technician has the ability to finish the tasks of a basic, cross-trained, and expert drug store service technician.

  • Analyzes info needed to finish medication permissions with insurance coverage providers, service location contacts, and worker’s payment providers.
  • Accurate and relevant medical information and demographics is put together and interacted to the clients’ insurance provider in a prompt and orderly style.
  • Medication permission services are comprehended and incorporated in accordance with Health System and department policies and treatments by working collaboratively with designated contacts in service locations.
  • Knowledge of insurer requirements for medication approval is present.
  • Authorization approval treatments are interacted to insurance coverage providers through telephonic/fax/on-line evaluation in an arranged and prompt style.
  • Timely follow-up with insurance coverage providers is carried out to get certification/authorization paperwork for inpatient and outpatient services.
  • Demonstrates ability in the skilled usage of PC and UVA software application systems to make sure that all medication permission details is participated in needed computer system systems in a precise and prompt way. Online information entry of permissions and rejections are interacted to proper workers. Efficiency in making use of PC and needed UVA software application systems is properly shown. Precision and Quality of medication permission files are preserved for arranged retrieval of client records. Particular assistance functions are managed in an arranged and prompt style.
  • Demonstrates the abilities of reliable interaction, decision-making, and company to guarantee effective task efficiency and task success.
  • Daily work is achieved with very little direct guidance.
  • Work concerns are set in order to achieve tasks/goals.
  • Confidential matters are dealt with properly.
  • Familiarity with all appropriate insurance coverage strategies and formularies is shown.
  • Communication with Department billing personnel is achieved in a prompt way to make sure precise medication permission details is lined up with precise billing of services.
  • Ability to train personnel and to serve as a resource to other personnel is shown at all pertinent times.
  • Comprehension of insurance coverage information, advantages, in/out of network concerns, alert requirements, and medical diagnosis is regularly shown in order to make sure that all medication permissions are finished prior to the date of service.
  • Sound judgment is regularly shown regarding when to include pharmacists, doctors, or other healthcare specialists in the medication permission or rejection procedure.
  • Prepares medications for giving to clients:
  • Receives medications from pharmaceutical producers on behalf of particular clients.
  • Enters prescription orders into drug store software application for prescription giving labeling according to all governing statutes and policies consisting of drug store department policies and treatments.
  • After pharmacist monitoring of prescription and proper medication, collaborates get or shipping of the given medication to the client.
  • Evaluates client eligibility for pharmaceutical medication help:
  • Evaluates pharmaceutical maker requirements for client eligibility.
  • Utilizes web programs, coupons, copay-coinsurance support programs, and any other program understanding.
  • Completes producer application or helps patient/caregiver with the types.
  • Evaluates client monetary details presently offered in UVA software application systems, shows skilled gain access to and capability to search for important info in data-containing applications, and uses offered details to the particular maker program to minimize documentation concern to the client.
  • Assists clients with Medicare part D open registration, brand-new registration, registration or eligibility modifications, and strategy (PDP or MAP) modifications, formulary modifications, or strategy mistakes:
  • Manages open registration consultations by phone, consultation, or walk-in.
  • Provides impartial info and help to clients.
  • Assists drug store personnel when patient-plan concerns requiring intervention happen.
  • Seeks extra assistance for clients without any space protection, medications not covered by the enrolled-plan from other help companies on behalf of the patient/caregiver.
  • Maintains existing working understanding of alternate help companies.
  • Continually looks for and discovers originalities and options for increasing medication cost savings for the Organization and clients:
  • Meets routinely with other healthcare suppliers.
  • Meets frequently with maker agents.
  • Attends regional, local, or nationwide conferences for training and upgrading understanding of support programs.
  • Pursues private training/learning chances to benefit the program.
  • Demonstrates exceptional client service:
  • Demonstrates superlative organizational abilities, consisting of, however not restricted to Microsoft Office items (Word, Excel, PowerPoint, and Access).
  • Demonstrates empathy, generosity, friendliness, and grace to every patient/caregiver and healthcare staff member.
  • Manages interaction effectively: returns telephone call with 24 hours of message (reported), returns pages right away (by next early morning at newest) (reported).
  • Provides clients and healthcare service providers reasonable expectations of medication permission support.
  • Updates clients and suppliers with program modifications and status of approvals or rejections.
  • In addition to the above task obligations, other tasks might be appointed.

Position Compensation Range: $1537 – $2382 Hourly

MINIMUM REQUIREMENTS

Education: High School Graduate or Equivalent

Experience: 6 months minimum pertinent experience needed

License/Certification: Commonwealth of Virginia Pharmacy Technician Registration needed. CPhT credential through National Healthcareer Association (NHA) or Pharmacy Technician Certification Board (PTCB) needed. For employee employed prior to February 1, 2020, accreditation as CPhT through NHA or PTCB is needed by January 31, 2022.

PHYSICAL DEMANDS

Job needs meaning extended durations. Skilled communicative, acoustic and visual abilities; Attention to information and capability to compose legibly; Ability to lift/push/pull less than 20 pounds.

COVID Vaccination Requirement

The University of Virginia anticipates all present and brand-new staff members (UVA Health System and Academic), to be immunized versus COVID-19

If worked with to work within the University Health System, you will be needed to supply evidence of vaccination or want to get the vaccination. Workers might ask for a medical or spiritual exemption from vaccination.

If worked with to deal with the Academic side of the University, omitting the School of Medicine, School of Nursing, UPG, and the Health Systems Library, you will be needed to offer evidence of vaccination or want to send to obligatory, weekly occurrence screening. Workers that are working 100% from another location will not undergo weekly frequency screening; nevertheless, if the staff member deals with UVA Grounds (consisting of the Medical Center) even periodically, then they are needed to be evaluated for COVID-19 as soon as weekly on an indefinite basis and follow masking requireds.

NOTE: Some medical and safety-sensitive positions need vaccination and are not qualified for an exemption. To find out more on how the vaccination and screening requirements will use to you at your work area, see the website.

The University of Virginia, consisting of the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician’s Group and the Claude Moore Health Sciences Library, are basically devoted to the variety of our professors and personnel. Our company believe variety is quality revealing itself through everyone’s viewpoints and lived experiences. We are level playing field and affirmative action companies. All certified candidates will get factor to consider for work without regard to age, color, impairment, gender identity or expression, marital status, nationwide or ethnic origin, political association, race, religious beliefs, sex (consisting of pregnancy), sexual preference, veteran status, and household medical or hereditary details.

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