**Primary City/State:**

Phoenix, Arizona

**Department Name:**

Neuro Admin-Clinic

**Work Shift:**

Day

**Job Category:**

Pharmacy

The academic medicine difference. At the center of Banner University Medicine is patient care, research, and teaching. Join a nationally recognized health care leader and experience the future of medicine today.

This position is in our high-volume Neuroscience Institute where 19 providers with 8 specialties provide the most advanced care for conditions impacting the brain. Our expert neurologists are improving care and research for many conditions including stroke, epilepsy, multiple sclerosis and brain injury. Our skilled neurosurgeons provide cutting edge therapies for complex conditions such as brain aneurysms, epilepsy, spinal disorders and many other conditions.

Responsible for processing prescription refills, obtaining medication prior authorizations, and following up on auth requests,. Pharmacy experience being helpful. We support a strong team culture, flexibility and growth in this clinic.

This position is full time Monday - Friday and will generally fall between the hours of 830am-5pm.

**Banner Health has been recognized by Beckers Healthcare as one of the 150 top places to work in health care. In addition, we recently made Newsweeks list of Americas Greatest Workplaces 2023 for Diversity.**

**These recognitions reflect Banner Health's investment in team members' professional development, wellness benefits, and continued education. It highlights our commitment to advocating for diversity in the workplace, promoting work-life balance, and boosting employee engagement** .

University Medical Center Phoenix is a nationally recognized academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly trained medical professionals. Our commitment to nursing excellence has enabled us to achieve Magnet recognition by the American Nurses Credentialing Center. The Phoenix campus, long known for excellent patient care, has over 730 licensed beds, several unique specialty units and is the new home for medical discoveries, thanks to our collaboration with the University of Arizona College of Medicine - Phoenix. Additionally, the campus responsibilities include fully integrated multi-specialty and sub-specialty clinics and has operations in multiple locations spanning across the Phoenix metropolitan city.

POSITION SUMMARY

This position will work under the supervision of the pharmacist and/or technician supervisor. Requires knowledge of drugs, medical nomenclature, and the metric system to enter data into the computer system to fill prescriptions and to obtain reimbursement/payment. Serves as a liaison between the customer and the pharmacists, physicians, and third party administrators. Will also take requests for prescription refills and obtain necessary prior authorizations. Available, as scheduled, to answer inbound calls while protecting the confidentiality of member information and adhering to company policies regarding patient health information (PHI). Makes outbound calls as needed, faxes providers offices, and provides exceptional, courteous and professional customer service. Must demonstrate the ability to research complex issues across multiple databases, work with support resources to resolve member issues, and own problems through to resolution on behalf of the member in real time or follow-up with the member as soon as possible.

CORE FUNCTIONS

1. Researches clinical data necessary to complete and maintain prior authorization, and interfaces with prescribers to ensure that referrals are complete and include all necessary clinical and demographic information. However, PPAs are prohibited from conducting evaluation or interpretation of clinical data.

2. Performs test claims to determine copayment/coinsurance amounts, with applicable patient assistance programs. Understand copays, formularies and special pricing to ensure claims are adjudicated correctly and adjustments are performed when applicable.

3. Builds and maintains strong relationships with patients, and serves a primary point-of-contact throughout the duration of therapy. Educates the patient about coordination of benefits and plan of care.

4. Obtains applicable financial resources, such as patient assistance and foundation grant support, to assist in covering the patient's portion of therapy. Interfaces with revenue cycle to establish payment plans, when necessary, and coordinates communication with the patient regarding patient financial responsibility.

5. Documents coordination of benefits and plans of care in pharmacy applications, and communicates to stakeholders as needed to ensure optimal medication therapy. Partner with others to handle and resolve escalated issues when appropriate and act urgently when necessary.

6. Input orders efficiently with attention to detail, includes order entry, billing, crediting, and updating medical records. Meet departmental standards for production and quality improvement strategies, schedule adherence as well as participate in training and self-development opportunities when appropriate.

7. Attends to customers and answers telephones in a courteous and timely manner. Serves as a liaison between the customer the pharmacists, physicians, and third party members. May also take requests for prescription refills and obtain necessary prior authorizations.

8. Works with various parties such as third party payers, providers, and other pharmacies while providing proper documentation for adjudication discrepancies or to obtain prior authorizations when needed.

9. This position services patients referred to an outpatient pharmacy service line, but has no role in the clinical aspects of the patient management program. Internal customers include but are not limited to employees, patients, and management at the local, regional, and corporate levels. External customers include but are not limited to, practicing physicians, vendors, and the community.

MINIMUM QUALIFICATIONS

Skills and knowledge typically attained with acquiring a Pharmacy Technician License. Current and unrestricted licensure is required.

Incumbents in Arizona are also required to provide the AZ Board of Pharmacy Wallet Card at time of hire.

May be required to possess a valid drivers license.

Must demonstrate 3 or more years of experience performing in a pharmacy technician role. Must possess good organizational, problem solving, and computer skills. Must have good written and verbal communication skills for interfacing with all levels of staff, physicians, patients and other contacts. Previous experiences working with pharmacy benefit managers, insurance verification, or patient assistance.

Previous experiences working with pharmacy benefit managers, insurance verification, or patient assistance. Employees working at Banner MD Anderson on the Banner University Medical Center Phoenix campus must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. This is a requirement of the Whole Family Counseling Program held at this specific facility.

PREFERRED QUALIFICATIONS

Pharmacy Technician Certification Board (PTCB) certification. Pharmacy technician experience. Knowledge of medication management information system software and automated dispensing systems. Highly proficient in analyzing complex claim transactions and systems with the ability to effectively define issues, collect data, establish facts, and draw valid conclusions. Ability to follow changing instructions and execute special projects as required and additional duties as assigned.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability