US Tech Solutions, Inc. | Prior Authorization Representative GA | atlanta, ga

2 weeks ago


atlanta, United States US Tech Solutions, Inc. Full time

Duration: 06 Months


Job Summary:

• Training and working virtually

• Utilizing multiple software systems to complete Medicare appeals case reviews

• Meeting or exceeding government mandated timelines

• Complying with turnaround time, productivity and quality standards

• Conveying resolution to beneficiary or provider via direct communication and professional correspondence

• Acquiring and maintaining basic knowledge of relevant and changing Med D guidance


Responsibilities:

• Working independently but be self-aware enough to know when to ask for help

• Be technically capable to understand trouble-shooting steps and be able to communicate the results to leaders or IT

• Ability to effectively communicate verbally with members and prescribers while managing multiple software systems

• Accountable and results driven

• Critical thinker/problem solver

• Receptive to constructive feedback and flexible in adapting to change

• Ability to effectively plan, prioritize, and organize time and workload


Experience:

• At least two years of general business experience that includes problem resolution, business writing, quality improvement and customer service

• Six months of working in a virtual role where the supervisor is not physically in the same space

• Six months of PBM/pharmaceutical related work strongly desired


Education:

  • High School Diploma or GED required
  • Bachelor’s degree in related field or equivalent work experience preferred


Skills:

  • Call center, Prior authorization



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