Pharmacy Technician I Prior Authorization Specialist

3 weeks ago


New York, New York, United States US Tech Solutions Full time
Job Summary:
As a Pharmacy Technician I Prior Authorization Specialist, you will play a crucial role in the prior authorization process, providing exceptional phone assistance to providers, pharmacies, and members. Your primary responsibility will be to take in-bound calls, utilizing your professional and courteous demeanor to navigate the criteria-based prior authorization process. You will maintain accurate and timely documentation of reviews, transferring clinical questions and escalations to the pharmacist team as needed.

Key Responsibilities:
1. Effectively manage work volume by handling inbound calls, fax, and ePA requests, adhering to established standards of courtesy and professionalism.
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.

Requirements:
Preferred 0-3 years of work experience in a customer service position with high-volume call center experience, preferably in healthcare, social services, or a similar service position. A verifiable High School diploma or GED is required. Associate Degree or Bachelor's Degree is preferred, or equivalent years of work experience. Active pharmacy technician license per state requirements or national certification is also preferred. Trainee license in states where applicable is a plus.

About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. We are an Equal Opportunity Employer, committed to providing a diverse and inclusive work environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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