Pharmacy Prior Authorization Technician (Infusion Drugs)
City of Hope
Irwindale, CA
Job posting number: #7298071 (Ref:10028506)
Posted: January 7, 2025
Salary / Pay Rate: $23.88 - $34.63 / hour
Application Deadline: Open Until Filled
Job Description
Pharmacy Prior Authorization Technician-Foundation
Join the transformative team atCity of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.
The Prior Authorization (PA) Technician plays a key role in assisting the clinical review pharmacist with daily tasks. Their responsibilities include collecting clinical information and documentation needed for approving oncology and specialty medical injectables. The technician conducts preliminary treatment reviews, identifies key requirements based on payor guidelines, and ensures accurate HCPCS codes and unit details through quality assurance checks. Additionally, they assist with authorization or payment denials by coordinating payor peer-to-peer reviews and gathering necessary information to support denial appeals.
As a successful candidate, you will:
- Ability to operate proficiently within the EPIC EHR System.
- Create/update/modify treatment referral shell.
- Navigate through patient chart and treatment plan to extract pertinent clinical information.
- Navigate through various payor authorization portals and identify payor treatment requirements.
- Serve as a clinic liaison with clinic pharmacy and medical staff regarding authorization related questions.
- Support clinical review pharmacist with tracking authorization and payment denial status.
- Conducts quality assurance review of referral shell inputs authorization shells.
- Communicates effectively with all levels of staff.
Your qualifications should include:
- High School or experience may substitute for minimum education
- Three years of performing pharmacy related duties
- Licensed as a Pharmacy Technician with the California State Board
- PTCB certification, preferred
- Experience working in a health plan, medical group, or pharmacy benefit manager Pharmacy infusion experience, preferred
City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.
City of Hope is an equal opportunity employer. To learn more about our commitment to diversity, equity, and inclusion, please click here.
To learn more about our Comprehensive Benefits, please CLICK HERE.
Salary / Pay Rate Information:
Pay Rate: $23.88 - $34.63 / hour
The estimated pay scale represents the typical [salary/hourly] range City of Hope reasonably expects to pay for this position, with offers determined based on several factors which may include, but not be limited to, the candidate’s experience, expertise, skills, education, job scope, training, internal equity, geography/market, etc. This pay scale is subject to change from time to time.
City of Hope is a community of people characterized by our diversity of thought, background and approach, but tied together by our commitment to care for and cure those with cancer and other life-threatening diseases. The innovation that our diversity produces in the areas of research, treatment, philanthropy and education has made us national leaders in this fight. Our unique and diverse workforce provides us the ability to understand our patients' needs, deliver compassionate care and continue the quest for a cure for life-threatening diseases. At City of Hope, diversity and inclusion is a core value at the heart of our mission. We strive to create an inclusive workplace environment that engages all of our employees and provides them with opportunities to develop and grow, both personally and professionally. Each day brings an opportunity to strengthen our work, leverage our different perspectives and improve our patients’ experiences by learning from others. Diversity and inclusion is about much more than policies and campaigns. It is an integral part of who we are as an institution, how we operate and how we see our future.
