Healix Infusion Therapy is seeking a full-time, remote Pharmacy Technician to join our Corporate Clinical Review Team.
As a Prior Authorization Pharmacy Technician with Healix, you will have the opportunity to work as a key member of the Clinical Review Team to review referrals for payor criteria to facilitate prior authorization and approvals for the Business Office. This is an excellent opportunity for technicians who want a more clinical role in the outpatient setting.
Duties & Responsibilities:
§ Reviews referral medical record documentation and evaluates medical criteria in accordance with payor policies to facilitate prior authorizations and approvals for select assigned therapies.
§ Maintains complete, timely and accurate documentation of reviews.
§ Transfers all clinical questions, escalations and judgment calls to the pharmacist team.
§ Communicates consistently and frequently to sites and staff regarding patient referral status, documentation needed and/or order clarifications.
§ Manages the daily queue for clinical reviews and ensures all tasks are completed each day.
§ Be current and proficient in understanding prior authorization requirements for selected therapies, including but not limited to rheumatology, neurology, and gastroenterology.
§ Assists with generating site-specific template orders.
§ Responsible for assessing and reporting department key performance metrics.
§ Other tasks assigned in support of the pharmacist team and company.
About Us
Healix is the nation’s leader in providing physician office-based infusion services. Focused on patient and physician peace of mind for 30 years, we offer unparalleled capabilities for optimal patient care, comfort, compliance, clinical outcomes, and research in an outpatient setting.
At Healix, we manage Office Infusion Centers on behalf of physicians, hospitals, and medical institutions, encouraging in-office treatment for optimal patient care. Our company is headquartered in Sugar Land, Texas, a suburb of Houston, where we have helped establish and manage hundreds of infusion centers nationwide. We use our clinical and business expertise to provide integrated solutions for all aspects of the infusion program, including research, all while delivering peace of mind to our clients and their patients.
Studies show that the physician office infusion center setting provides significant site of care benefits for patients, communities, payors, and pharma, including superior clinical outcomes and lower cost of care. Overall patient satisfaction at Healix-managed infusion centers soars, with 98% of patients rating their care as excellent. Our physician clients rely on Healix to handle their infusion center operations and research endeavors. As Healix continues to grow and expand in clinical research, we are dedicated to maintaining focus on patient and physician peace of mind.
