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Behavioral Health Technician - Claudia Black Center
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Behavioral Health Technician - Willow Healing Center
Wickenburg, Arizona, United States · On-site
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Overview Responsible for obtaining accurate, timely, and detailed information concerning claims and patient accounts. Responsibilities ESSENTIAL FUNCTIONS: Call and status outstanding claims with third party payers. Revi…
Skills: Claims Processing, Medical Billing, Insurance Collections, Account Reconciliation, Data Interpretation
Processes pharmacy prior authorization requests and performs adherence outreach using approved clinical guidelines. Supports internal and external customers by resolving pharmacy issues and providing claims data reporting.
Requirements
Requires pharmacy technician licensure and certification with at least 3 years of experience in a pharmacy setting, preferably with managed care emphasis. Must possess strong communication skills and the ability to master various software programs.
Full job description
Primary City/State:
Mesa, Arizona
Department Name:
Banner Staffing Services-AZ
Work Shift:
Day
Job Category:
Pharmacy
Pharmacy careers are better at Banner Health. We are committed to developing the careers of our team members. We care about you, your career today and your future. If you’re looking to leverage your abilities – apply today.
As a Pharmacy Patient Advocate Health Plans, you will performadherence outreach. Experience with Cerner EMR, Excel, Genesys (including autodialing) is preferred for this role.
The schedule for this position varies, you can anticipate at least once a week staffing during the weekdays, may need additional coverage for staff absence, weekend overlap (Saturdays), and for other business needs.
Banner Staffing Services (BSS) offers Registry/Per Diem opportunities within Banner Health. Registry/Per Diem positions are utilized as needed within our facilities. These positions are great way to start your career with Banner Health. As a BSS team member, you are eligible to apply (at any time) as an internal applicant to any regular opportunities within Banner Health.
As a valued and respected Banner Health team member, you will enjoy:
Competitive wages
Paid orientation
Flexible Schedules (select positions)
Fewer Shifts Cancelled
Weekly pay
403(b) Pre-tax retirement
Employee Assistance Program
Employee wellness program
Discount Entertainment tickets
Restaurant/Shopping discounts
Auto Purchase Plan
Registry/Per Diem positions do not have guaranteed hours and no medical benefits package is offered. Completion of post-offer Occupational Health physical assessment, drug screen and background check (includes; employment, criminal and education) is required.
POSITION SUMMARY This position supports the Pharmacy Department in processing pharmacy prior authorization (PA) requests in an accurate and timely manner. Clinical decision making is performed using approved guidelines. Supports the internal and external customers of the Health Plan including members, providers, contracted pharmacies, case managers, medical prior authorization staff, and the customer care staff by addressing issues pertaining to pharmacy and providing pharmacy data as requested. Performs ad hoc reporting on pharmacy claims data as requested. Responsible for performing activities and functions in accordance with policies and procedures under the immediate supervision of a pharmacy technician supervisor, a pharmacist, and/or medical director.
CORE FUNCTIONS 1. Processes and finalizes PA requests based on approved guidelines under the supervision of a pharmacist and/or a medical director: entering of PAs into the system and prioritizing requests; checking formulary alternatives, reviewing tried and failed medications; utilizing drug references and verifying the drug being requested is indicated/approved for the condition; documenting all related information regarding the PA approval or non-approval; monitors pending pharmacy prior authorization requests for compliance with regulatory timelines and contacts providers for requested information to avoid out of compliance decisions; respects and maintains highly confidential information as required by HIPAA.
2. Understands the formulary, member cost-sharing, and regulatory requirements, both AHCCCS and Medicare. Assures that pharmacy claims are adjudicating correctly. Maintains compliance with all regulatory requirements.
3. Communicates clearly and accurately with other healthcare professionals including internal personnel as well as individuals external to the organization. Assists internal and external customers with any pharmacy issues, investigates potential causes, and works to resolve issues in an efficient, comprehensive manner. Interacts with the pharmacy benefits management company to resolve any processing errors or system issues.
4. Provides reporting for internal and external customers including, but not limited to, member pharmacy claims history, CSPMP profiles, and pharmacy claims analysis.
5. Participates in the daily review of the Medicare denied claims report. Analyzes the reason for the denied claim and works with the pharmacy to resolve any processing issues. Outreaches to prescriber for prior authorization if indicated.
6. Participates in regulatory oversight including, but not limited to, audits, operational reviews, or ad hoc data requests.
7. Meets established departmental performance metrics for quality and productivity.
8. Works independently under regular supervision. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels. Work output has a significant impact on business goal attainment. Customers include members, pharmacists, providers, non-physician providers, other health care team members, health plan representatives and medical office staff for the purpose of integrating services, improving patient care and ensuring effective communication systems.
MINIMUM QUALIFICATIONS
Requires pharmacy technician licensure in the state of practice (where applicable). Pharmacy technician certification required.
Incumbents in Arizona are also required to provide the AZ Board of Pharmacy Wallet Card at time of hire.
Must demonstrate 3 or more years of experience performing pharmacy technician duties in a pharmacy setting with managed care emphasis preferably within a healthcare organization or retail pharmacy. Must have good written and verbal communication skills for interfacing with all levels of staff, physicians, patients and other contacts. Must have the ability to learn and master various software programs necessary for job functions
PREFERRED QUALIFICATIONS Knowledge of medication management information system software and automated dispensing systems. Previous experience with Medicare, Medicaid or Long Term Care preferred
Additional related education and/or experience preferred.
Headquartered in Arizona, Banner Health is one of the largest nonprofit health care systems in the country. The system owns and operates 33 acute-care hospitals, Banner Health Network, Banner – University Medicine, academic and employed physician groups, long-term care centers, outpatient surgery centers and an array of other services; including Banner Urgent Care, family clinics, home care and hospice services, pharmacies and a nursing registry. Banner Health is in six states: Arizona, California, Colorado, Nebraska, Nevada and Wyoming.
Offices: 2901 N Central Ave., Phoenix, AZ 85012, US · 525 W. Brown Road, Mesa, AZ 85201, US · 7251 W. 4th St., Greeley, CO 80634, US · 1625 N Campbell Ave, Tucson, Arizona 85719, US · 1800 Spring Ridge Dr, Susanville, California 96130, US
Based on 671 listings with disclosed salaries, most administrative jobs in Arizona pay between $50k–$90k per year. Individual offers vary with seniority, company size, and specialization.
How many Administrative jobs are open in Arizona right now?
There are currently 6,523 open administrative positions in Arizona listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Administrative roles in Arizona?
Companies currently hiring include Banner Health, Arizona Department of Transportation, HonorHealth, Costco Wholesale, ASU Global Academic Initiatives, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Administrative jobs in Arizona?
Yes — 858 of the 6523 open administrative positions offer remote or hybrid work (306 remote, 552 hybrid).
How do I apply for Administrative jobs in Arizona?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.