Pharmacy Support Specialist

5 days ago


Southfield, Michigan, United States w3r Consulting Full time
Job Summary

We are seeking a highly skilled Pharmacy Technician to join our team as a Pharmacy Helpdesk Specialist. In this role, you will provide exceptional support to providers and members, ensuring seamless communication and efficient resolution of Medicare Part B drug coverage inquiries and prior authorizations.

Key Responsibilities
  • Support providers with Medicare Part B drug coverage inquiries and prior authorizations
  • Process prior authorization requests in a timely and accurate manner
  • Communicate effectively with providers and members via phone, email, and online platforms
  • Analyze written, faxed, and verbal inquiries to determine medical authorizations
Requirements
  • 2-4 years of experience in specialty and/or retail pharmacy
  • Experience in provider/member call center or helpdesk
  • Knowledge of specialty prescription drug names, NDC drug codes, therapeutic classes, and claims processing
  • Call Center or Helpdesk experience with excellent communication skills
  • Ability to analyze written, faxed, and verbal inquiries
Preferred Qualifications
  • Prior Authorization experience on Pt B specialty medications
  • Knowledge of pricing NOC drugs
  • Familiarity with Medicare Guidelines and Timeframes
  • Knowledge of pharmacy and/or medical claims processing
  • Proficient in Microsoft Office Products
Education/Certifications
  • High School Graduate or GED equivalent required
  • Pharmacy Technician Certification (PTCB) preferred
Work Environment

This is a fully remote position with occasional requirements to work in Southfield or South Lyon location if internet or system issues prevent remote work.

Candidate must have a designated workspace free from noise and disruptions, conducive to protecting PHI.



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