Authorization Support Specialist
2 weeks ago
Position:
Authorization Support Specialist Please review the details outlined in this job description.
Work Environment:
Remote/Call center
Employment Type:
W2
Contract Duration: 6+ Months Engagement Overview: The pharmacy technician will operate within a provider call center, managing requests for authorization and addressing inquiries related to general utilization management and claims denials for both Network and Michigan commercial members.
Essential Skills/Experience:- Comprehensive understanding of pharmacy benefit medications and utilization management processes
- Proficient computer skills with web-based applications and Windows 10
- Capability to professionally handle provider calls in a call center setting
- Strong written and verbal communication abilities
- Problem-solving skills to address issues using desk-level procedures
- Comfort with uncertainty in a dynamic environment where processes are frequently updated
- Meticulous attention to detail to ensure compliance with NCQA standards and timelines
- Experience in a health plan setting is advantageous
- Background in specialty pharmacy is beneficial
- Familiarity with medical benefit drug billing and utilization management is a plus
- Valid Michigan pharmacy technician license
About Strategic Staffing Solutions: Our mission is to foster trustworthy relationships and provide solutions that positively influence our clients, consultants, and communities.
Our Core Values:
- Establish high standards for corporate responsibility
- Generate employment opportunities
- Provide individuals with the chance to thrive and improve their circumstances
- Enhance the communities where we operate through volunteerism and charitable contributions
As a member of Strategic Staffing Solutions, you will have access to a comprehensive benefits package that may include:
- Medical Coverage
- Dental Coverage
- Vision Coverage
- 401(k) Retirement Plan
- Paid Time Off
- Life and Disability Insurance Options
- Flexible Spending Accounts
- Educational Assistance
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