HealthCare Support is actively seeking Remote Prior Authorizations Pharmacy Technician to fill an opening with a large managed care and pharmacy benefits management company in EST states.
Daily Responsibilities for Remote Prior Authorizations Pharmacy Technician:
This is a Call Center environment. The pharm techs will receive prior-authorization requests via fax or incoming call and will compare them to a set of criteria on UHG's database. The goal is to get these requests approved for the patient so they can receive their medicine. If the prior authorization is rejected, the techs will try to resolve the issue for them by contacting doctors or pharmacists or seeing if there is a problem with their insurance, etc.
The essential functions of a pharmacy technician in Prior Authorization are providing expertise and customer service support to members, customers, and/or providers.
This position exists to take incoming requests for prior authorizations, for formulary and non-formulary medications, while ensuring a high level of customer service and maximizing productivity.
Requests can be received via fax or telephone, from providers' offices and pharmacists.
The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turnaround times (TATs) and service level agreements (SLAs).
The technician must provide the information clearly, accurately and in a professional manner.
Interactions with callers must be documented per contractual and various regulatory / legal requirements.
Training: Training is for 4 weeks. Training time is Monday - Friday 8:00am-5:00pm. This training time is subject to change. Cannot miss any time during training.
Shift: Shift after training is an 8 hour shift with an hour lunch. The tech must be available as early as 5am and as late as midnight. The candidate will work 5 days a week which may or may not include a weekend day(s). There is scheduled Overtime and working on Holidays. Dependent on business needs, candidate could work up to 4 hours a day OT.
Required Qualifications for Remote Prior Authorizations Pharmacy Technician:
Active Pharmacy Technician License in the state of residence
Must have high speed internet connection at home
Must be comfortable in working in a call center and metric-based environment
Excellent interpersonal, organizational and communication skills
Preferred Qualifications for Remote Prior Authorizations Pharmacy Technician:
Must be able to work in a fast-paced work environment with minimal to no time off during the contract period
Benefits for Remote Prior Authorizations Pharmacy Technician:
Immediate enrollment in Health Insurance
Dental Insurance
Life Insurance
Employee Assistance Program (EAP)
Access to Investment Accounts
Pay: $18.95 - $21.05 an hour
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to [email protected] with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
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Seniority level
Entry level
Employment type
Contract
Job function
Health Care Provider
Industries
Staffing and Recruiting
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