Pharmacy Technician I Prior Authorization Specialist

7 days ago


New York, New York, United States US Tech Solutions Full time
Job Summary:

The Pharmacy Technician I Prior Authorization Specialist takes in-bound calls from providers, pharmacies, and members, providing professional and courteous phone assistance through the prior authorization process. This role involves maintaining accurate documentation of reviews, transferring clinical questions to the pharmacist team, and assisting with other duties as needed.

Responsibilities:
  1. Effectively manage work volume by handling inbound calls, faxes, and ePA requests using established standards.
  2. Comply with departmental, company, state, and federal requirements to ensure accuracy of information provided to internal and external customers.
  3. Communicate with internal groups regarding determination status and results.
  4. Identify and elevate clinical inquiries to the pharmacist team as appropriate.
  5. Perform other duties assigned, such as faxes, sorting, email boxes, and CAS maintenance.
Requirements:
  • Preferred 0-3 years of work experience in a customer service position with high-volume call center experience, preferably in healthcare or a similar service position.
  • Verifiable High School diploma or GED is required.
  • Active pharmacy technician license per state requirements or active national certification.
About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing talent on-demand and total workforce solutions. We are an Equal Opportunity Employer and welcome qualified applicants from diverse backgrounds.


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