Pharmacy Technician Prior Authorization Specialist

3 weeks ago


Glendale, Arizona, United States Helping Hand Health Full time

Job Summary:

We are seeking a highly skilled Pharmacy Technician to join our team at Helping Hand Health. As a Pharmacy Technician Prior Authorization Specialist, you will play a critical role in ensuring that our members receive the necessary medications and treatments in a timely and efficient manner.

Key Responsibilities:

  • Process and finalize prior authorization requests within regulatory turnaround times.
  • Enter prior authorizations into the system and prioritize requests.
  • Check formulary alternatives, review tried and failed medications, and utilize drug references to verify the requested medication is indicated and approved for the condition.
  • Analyze and resolve prior authorization processing issues, including making written or telephone inquiries to obtain information from clients, members, physicians, or pharmacies.
  • Coordinate notifications to members, physicians, and pharmacies as required to obtain missing information, manage pended requests, and communicate prior authorization determinations.
  • Make outbound calls to obtain information and answer questions about prior authorization status.
  • Follow prior authorization processing regulatory requirements and expectations.
  • Collaborate with other departments in resolving prior authorization inquiries and handling incoming calls.
  • Protect and maintain confidentiality and privacy of all prior authorization and member information.

Requirements:

  • 2 years of experience processing prior authorizations for a health plan or Pharmacy Benefit Manager (PBM).
  • Exceptional customer service and professionalism.
  • Must have knowledge of pharmacy claims adjudication.
  • Must be self-motivated and willing to work effectively and efficiently.
  • Active Arizona Pharmacy Technician License or Trainee license.

Why Join Helping Hand Health?

We offer a dynamic and supportive work environment, opportunities for professional growth and development, and a comprehensive benefits package, including HSA, 401(k) matching, bonus based on performance, company parties, dental insurance, free food & snacks, health insurance, paid time off, training & development, and vision insurance.



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