Pharmacy Support Specialist

1 month ago


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

We are seeking a highly skilled Pharmacy Technician to join our team at w3r Consulting. As a Pharmacy Technician, you will play a critical role in supporting our providers with 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 and communicate with providers and members
  • Analyze written, faxed, and verbal inquiries and enter medical authorizations into the online provider-facing webtool
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
Preferred Skills
  • 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 position is fully remote, with occasional requirements to work in Southfield or South Lyon location if internet or system issues prevent remote work. The ideal candidate will have a designated workspace that is free from noise and disruptions, and is conducive to protecting PHI.



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