Pharmacy Technician Prior Authorization Specialist
3 weeks ago
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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Glendale, Arizona, United States Helping Hand Health Full timeJob 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 timely and accurate prior authorization decisions.Key Responsibilities:Process and finalize prior authorization requests within...
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Pharmacy Technician
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Glendale, Arizona, United States Helping Hand Health Full timeJob OverviewAt Helping Hand Health, we are seeking a highly skilled Pharmacy Technician to join our team as a Prior Authorization Specialist. In this role, you will play a critical part in ensuring that our members receive timely and accurate prior authorization decisions.Key ResponsibilitiesProcess and finalize prior authorization requests within regulatory...
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Glendale, Arizona, United States Helping Hand Health Full timeJob Summary:Helping Hand Health is seeking a skilled Pharmacy Technician to join our team as a Prior Authorization Specialist. In this role, you will be responsible for processing and finalizing prior authorization requests within regulatory turnaround times. Your exceptional customer service skills and knowledge of pharmacy claims adjudication will be...
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Glendale, Arizona, United States Helping Hand Health Full timeJob Summary:We are seeking a highly skilled Pharmacy Technician Prior Authorization Specialist to join our team at Helping Hand Health. As a Pharmacy Technician Prior Authorization Specialist, you will be responsible for processing and finalizing prior authorization requests within regulatory turnaround times.Key Responsibilities:Process and finalize PA...
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