Travel Technician in Tysons, VA
4 months ago
Responsibilities:
- Remain compliant with all PHI protocols and requirements including the handling of company confidential data according to policy and guidelines. Adheres to existing security policies and procedures.
- Process submitted prior authorization requests within the required time frame mandated by the State client
- Completion of approval process for prior authorizations where all criteria is met and clinical judgement of a pharmacist is not required
- Complete necessary communication with providers regarding status of their authorization submission or any other inquiries
- Follow standard operating procedures to receive incoming calls and use learned knowledge and resources to resolve the call on initial contact
- Provide a positive experience when communicating with members and providers
- Complete outreach to providers to obtain information when required
- Appropriately document all inquiries received via phone, fax, or email for members or providers
- Provide a high level of customer care with our members and providers
- Meet all department requirements, goals, and performance expectations
- Complete all tasks assigned within regulatory guidelines
- Actively identify areas of inefficiencies and provide innovative suggestions to leadership to keep processes current
- Develops understanding of the client's business and applies knowledge to support efficient procedures and adherence to service level agreements.
- Performs standard, recurring processing and quality tasks in support of outsourced services within a specific industry and functional area. Demonstrates knowledge and skill in assigned work processes.
- Complete any additional job-related tasks as requested
- Strong verbal and written communication skills
- Balance's accuracy, quality, and efficiency in all tasks
- A willingness and ability to learn internal systems/processes/programs, as needed
- Basic math skills
- Familiarity with medication names and medical terminology
- General computer knowledge including Microsoft Office, use of the internet, and email is required
- Ability to learn quickly, solve problems, and make decisions with minimal supervision
- Ability to adapt and work collaboratively in a fast-paced, production environment
- Willingness to work a flexible schedule to accommodate peak volume times
- Excellent attention to detail
- Effective communication skills with internal and external clients, verbally and written
- Knowledge of pharmacy insurance claims
- Organization skills to balance and prioritize work
- Ability to multi-task
- Ability to work independently and as part of a team
Requirements:
- Must be at least 18 years of age
- High school diploma or GED required
- Active pharmacy technician registration with a Board of Pharmacy or certified pharmacy technician from accredited program (PTCB, ExCPT, etc.) or must obtain certification within 12 months
- 2 years of relevant experience as a pharmacy technician in retail pharmacy, hospital pharmacy, managed care, insurance, or pharmacy benefit management
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