Why Ironwood Cancer & Research Centers? Ironwood Cancer & Research Centers was founded in 1993 by Dr. Parvinderjit Khanuja. Over almost three decades, Ironwood has grown throughout metro Phoenix area. Today Ironwood has 15 locations including 5 comprehensive cancer centers, a multi-specialty oncology network of over 100 providers, a robust Integrative Services program, a dedicated research department, and a growing Women’s oncology program. With over 700 employees our mission is Compassion through Kindness. Across all locations, you’ll find career opportunities that support diversity, equity and inclusion. At Ironwood Cancer & Research Centers, we invest in you with opportunities for growth and development and our benefits and compensation package are highly competitive. We invite you to be a part of our team where you’ll discover a culture of teamwork, professionalism, collaboration, accountability, and empathy.

Mission Statement: To serve the community by providing quality, comprehensive cancer care which respects the values and needs of each individual.

Overview: We are looking for a full-time pharmacy assistant to focus on prior authorization and financial assistance. Monday - Friday, daytime schedule (no holidays).

Essential Duties and Responsibilities:

• For Medicare insurance, help determine coordination of benefits to properly bill eligible medications; Medicare part D & Medicare Part A/B.
• Keeps current on all Medicare changes and communicates with applicable staff.
• Assist with resolving patient billing complaints i.e., annual Medicare deductible.
• Maintain accountability for day-to-day patient reimbursement activities, workload and overall workflow.
• Assists patients and/or their responsible parties with questions regarding billings.
• Work on patient's behalf to identify and assess reimbursement coverage options for those with insurance and to coordinate and/or investigate financial options for those without insurance.
• Perform various actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
• Utilizing CoverMyMeds to facilitate the process of obtaining prior authorization from third party payers in order to maximize patients' access to treatment.
• Completes manufacturer assistance forms for financial assistance when required.
• Monitor, follow-up with and record all insurance re-authorizations required by payers to help ensure compliance and continuity of treatment.
• Help support the appeal process to overturn insurance denials and/or benefit exclusions when needed.
• Analyze patient medical records to determine proper diagnosis and procedure codes, as well as other required information for patients.
• Works with physicians or health care professionals if patient information is unclear to accurately process Medicare Part B claims.
• Provides excellent customer service to all patients and medical professionals via phone or in person.
• Ability to preserve confidentiality of protected health information (PHI) and adhere to all HIPAA guidelines/regulations.
• Must be able to type and work on a computer.
• Ability to work in a constant state of alertness and safe manner.
• Performs other duties as requested by supervisor, administrator, or physicians

Knowledge and Skills:

• General knowledge of in-office dispensary laws, practices and procedures.
• Knowledge of brand name drugs and their generic equivalents.
• Knowledge of common medical terms/abbreviations and in-office dispensary calculations.
• Knowledge of insurance and third-party billing systems
• Knowledge of medical safety standards to assist in manufacturing and working with pharmaceutical substances.
• Knowledge of reviewing and completing Health Insurance Claim Form (1500).

Experience and Qualifications:

• At least one-year retail and/or in-office-dispensary experience preferred.
• Oncology experience preferred.
• Associates Degree or Diploma Program/Certification from an accredited pharmacy technician training program required (National Pharmacy Technician Certification Board accreditation preferred).

Certificates, Licenses, Registrations:

• State of AZ pharmacy technician license. Required.
• CPhT. Preferred.

We offer a competitive salary and a comprehensive benefit package including health/dental/vision and life insurance, 401K, and a caring work environment. We are an E.O.E.

Please visit our website at www.ironwoodcrc.com. "Outsmarting Cancer One Patient at a Time"