Pharmacy Technician I Prior Authorization Specialist
2 weeks ago
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 and escalations to the pharmacist team, and assisting with other duties as needed.
Responsibilities:- Effectively manage work volume by handling inbound calls, fax, and ePA requests using established standards.
- Comply with departmental, company, state, and federal requirements when processing information to ensure accuracy.
- Communicate with internal groups regarding determination status and results.
- Identify and elevate clinical inquiries to the pharmacist team as appropriate.
- Perform other duties assigned, such as faxes, sorting, email boxes, and CAS maintenance.
- 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.
- Associate Degree or Bachelor's Degree: If neither degree is held, then equivalent years of work experience are preferred. Other Certificates or Licenses: Active pharmacy technician license per state requirements, or active national certification.
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 and welcome all qualified applicants to apply without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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New York, New York, United States US Tech Solutions Full timeJob 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...
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New York, New York, United States US Tech Solutions Full timeJob 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...
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