Clinical Prior Authorization Technician
2 weeks ago
We are a small, but rapidly growing PBM. Our culture is
important to us, so teamwork and open/honest communication are critical to
maintain a balanced work/life schedule. Most importantly, we encourage you to
have fun, maintain humor in your workday, and set that example for your team.
At Verus, we believe deeply in diversity and all of the fascinating
characteristics that make us each unique. We are focused on equality,
inclusion, and keeping up with a modern and progressive approach.
DUTIES AND RESPONSIBILITIES
The essential functions include, but are not limited to the following:
- May approve, dismiss/early close or withdraw prior authorizations of medication according to guidelines as defined by the client.
- Answers incoming calls on a daily basis and in a timely manner. Assists callers with questions regarding approval or denial of medications. Research issues and resolves the issue. Document caller’s questions, issues, and resolution.
- Data enters information into the PA database. Corrects errors, if needed.
- Process requests for information (RFIs) for client accounts.
- Performs monitoring tasks of the PAL/Client database. Notifies management of errors and/or problems.
- Maintain compliance with all company policies and procedures.
- Perform related duties as assigned by supervisor.
- Current or recent licensed Certified Pharmacy Technician.
- High school diploma or equivalent.
- Customer service experience required.
- Excellent communication skills including active listening.
- Service-oriented and able to resolve customer grievances.
- Proficient computer skills with the ability to learn new software.
TO ALL RECRUITMENT AGENCIES: The
Company and its affiliates do not accept unsolicited agency resumes. Please do
not forward resumes for any of our job postings, to our careers sites, or to
any employees of the Company or its affiliates. We are not responsible for any
fees related to unsolicited resumes.
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