Under the direction of the Director of Operations, and/Or Practice Manager, follow established policies and procedures to perform a variety of routine technical and clerical support tasks that are integral to the operation of a practice. The Practice Authorization Coordinator (PAC) works primarily in a practice setting. PAC's duties include entering, reviewing, validating, and preparing prescriptions, completing prior authorizations, providing excellent customer service, troubleshooting insurance issues, inventory management, utilizing the various technology platforms available in the practice, and performing various quality control tasks as assigned. In addition, the PAC will participate in training and orientation of new PACs, Medical Assistants, Practice Assistants and students
These tasks are designed to assist providers in the preparation, validation, and completion of prescriptions, and prior authorizations in accordance with the laws and regulations of the Massachusetts Board of Registration in Pharmacy, Massachusetts Department of Public Health, and other regulatory agencies as applicable. Most tasks require the review and authorization provider.
This position maybe asked to assist in procedure authorizations based on their strong understanding of Health Insurance needs. The Prior Authorization Coordinator may also be asked to participate in general office duties, telephone assistance, customer, and pharmacy interaction for clarification. The position will be based out of Weymouth Ma, at times may be asked to float to another site. Other duties as assigned.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Staffing and Competency
- f. Provide information and triage phone calls to the appropriate individual within the clinic or department when answering the phone.
- g. Carry out duties and responsibilities as assigned by manager, director, or Provider.
- h. Maintain clean and organized work areas.
- Quality and Safety
- Perform all required pharmaceutical dosage calculations necessary to prepare extemporaneous dosage forms as applicable for prescription review and verification.
- Perform medication verification.
- Assist in the data entry of medication reconciliation verification.
- Utilize area-specific technology, including, but not limited to, robotics, automation, software, equipment, and information systems.
- Follow institutional and departmental policies and procedures.
- Demonstrate accountability and ownership of job responsibilities.
- Exhibit professional behaviors and attitudes related to communication, punctuality, workplace attire, personal internet or phone use, and teamwork.
- Carry out departmental and institutional patient safety initiatives.
- Report safety issues identified during the course of job responsibilities.
- High school diploma or equivalent.
- Must be at least 18 years of age.
- Preferred pharmacy technician experience.
- Successful years completion of an accredited Pharmacy Technician Training Program is highly desirable.
- 2-3 years Medical Office, Hospital, or Pharmacy experience preferred.
- Upon departmental orientation and annually thereafter, must complete training, which includes, but is not limited to:
- Institutional Safety Training
- Annual Departmental Technician Competency Assessments
- Possess command of the English language.
- Read, interpret, and follow complicated verbal and written instructions with accuracy, precision, and dependability.
- Work with sustained attention and care on routine, repetitive tasks.
- Perform the common mathematical calculations associated with preparing non-sterile, extemporaneously manufactured pharmaceutical products and other medication doses.
- Work accurately under stress with time constraints.
- Possess communication skills and a thorough understanding of pharmacy policies and procedures.
- Perform job duties in a professional and courteous manner and maintain working relationships with physicians, nurses, pharmacists, and other health care professionals.
- Possess time management and organizational skills to handle multiple tasks under time constraints.
- Organize and maintain efficient work areas and services.
- Make decisions based on knowledge of procedural requirements in conjunction with specific skills and task related functions.
- Distinguish routine functions from those requiring a pharmacist's professional judgment.
- Spend most of the work time standing or walking in order to complete daily tasks.
- Occasionally lift heavy loads.
- Continuously acquire skills necessary in the operation of pharmacy equipment.
- Understand basic medical terminology, abbreviations, and computer operations.
- Follow all applicable state and federal controlled substance regulations at all times
Brigham and Women's Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability.