Pharmacy Technician, Appeals Specialist
2 weeks ago
We are seeking a highly skilled Pharmacy Technician, Appeals Specialist to join our team at Capital Rx. As a Pharmacy Technician, Appeals Specialist, you will play a critical role in ensuring the efficient and effective processing of appeals and prior authorizations for our clients.
Key Responsibilities- Review and process appeals and prior authorizations in a timely and accurate manner.
- Communicate with clients, providers, and internal stakeholders to resolve issues and ensure seamless processing.
- Stay up-to-date on regulatory requirements and industry developments to ensure compliance and optimal performance.
- Collaborate with cross-functional teams to identify and implement process improvements.
- Provide exceptional customer service and support to clients and internal stakeholders.
- 1+ years of experience working as a certified pharmacy technician in a managed care or PBM setting.
- Active, unrestricted certified pharmacist technician license.
- Excellent organizational and detail-oriented skills.
- Strong oral and written communication skills.
- Ability to work independently with minimal supervision and stay productive in a high-volume, metric-driven environment.
Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA) dedicated to advancing our nation's electronic healthcare infrastructure to improve drug price visibility and patient outcomes. We are committed to providing equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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