Pharmacy Technician Med D Biller
1 week ago
RPH on the go islooking for motivated and detail-oriented Pharmacy Technician Med D Billers to work at aClinical Hub Center. This role involves managing claims, insurance billing, and providing support for prior authorization processes, ensuring seamless communication between facilities, plans, and providers.
Job Title: Pharmacy Technician Med D Biller
Location: Clinical Hub Center Call Center
Schedule: Monday - Friday, 9:00 AM - 5:30 PM
Key Responsibilities:
- Act as a resource for facilities by obtaining and completing necessary documentation and following up on claims.
- Understand insurance and Medicaid formularies, including prior authorization processes.
- Make outbound calls to facilities, plans, and physician offices to secure approvals.
- Resolve customer issues in collaboration with Pharmacy Directors, Client Billing Service Offices, and prescription drug plans.
- Meet productivity goals related to calls/claims per hour as set by leadership.
- Provide clinical support for prior authorization concerns and submissions.
- Adhere to company policies, federal and state laws, and professional standards.
- Understand the claim adjudication and billing processes and insurance workflows.
- Use Microsoft Office programs proficiently, including Excel.
Education:
- Required: High School Diploma, Associates Degree.
- Desired: Certified Pharmacy Technician (CPhT) or Medical Assistant Certification, Bachelor's Degree.
Experience:
- Required:
- Third-party medical billing experience.
- Knowledge of EMAR systems.
- Desired:
- 1-3 years of pharmacy experience.
- 3 years of call center experience.
Skills:
- Strong data entry and research skills.
- Experience with insurance processes, prior authorizations, and Medicaid formularies.
- Ability to type at least 40 WPM.
- Proficiency in Microsoft Office programs, especially Excel.
- Effective time management to meet daily and competing deadlines.
How to Apply:
If you meet the qualifications and are interested in this opportunity, please contact Jeff at or email your resume to .
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