Prior Authorization Pharmacy Tech II
2 months ago
Duration: 06 Months
Summary:
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
The Pharmacy Technician certification is preferred but not required at a State or National level.
Duties:
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
Experience:
Minimum (1) year experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position. The Pharmacy Technician certification is preferred but not required at a State or National level.
Education:
Verifiable High School diploma or GED is required. The Pharmacy Technician certification is preferred but not required at a State or National level.
Skills:
Pharmacy technician, Prior Authorization, Calling
-
Pharmacy Technician
2 weeks ago
Atlanta, United States US Tech Solutions Full timeLocation: Fully remote Duration: 12 months contract Job Description: The Pharmacy tech takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers...
-
Pharmacy Technician Specialist
2 weeks ago
Atlanta, Georgia, United States US Tech Solutions Full timeJob Summary:The Pharmacy Technician will provide professional and courteous phone assistance to callers through the prior authorization process. This role requires effective management of work volume, handling inbound calls, faxes, and ePA requests, while maintaining accurate documentation of reviews and transferring clinical questions to the pharmacist...
-
Pharmacy Technician
2 months ago
Atlanta, United States US Tech Solutions, Inc. Full timeLocation: Fully remote Duration: 12 months contract Job Description: The Pharmacy tech takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers...
-
REGISTERED Pharmacy Technician
3 weeks ago
Atlanta, United States A-Line Staffing Solutions Full timeJob DescriptionJob DescriptionMUST BE LICENSED/REGISTERED AS A PHARMACY TECHNICIAN IN STATE OF RESIDENCEHiring Now for 20 Remote/Work from Home Pharmacy Technicians for work!!Hours: Mon to Fri, any 8 hour shift between 11:00AM - 11:00PM CST; Possible Saturday rotationPay Rate: $21.24/HourI have listed a brief Job Description for these Remote/Work from Home...
-
Pharmacist Clinical- Prior Authorization
3 weeks ago
Atlanta, United States Elevance Health Full timeAnticipated End Date:2024-10-25Position Title:Pharmacist Clinical- Prior AuthorizationJob Description:Pharmacist Clinical- Prior Authorization (Pharmacist Clinical)Location: Virtual with the ideal candidate living within 50 miles of one of our Elevance Health PulsePoint locations. The Pharmacist Clinical is responsible for managing the selection and...
-
Prior Authorization Coordinator
3 weeks ago
Atlanta, Georgia, United States The Leaders Rheum Full timePrior Authorization Specialist Job DescriptionThe Leaders Rheum is seeking a skilled Prior Authorization Specialist to join our team in Atlanta, GA.The Prior Authorization Specialist plays a crucial role in ensuring that medical services, treatments, and medications are covered by insurance plans. This involves reviewing medical records, communicating with...
-
Atlanta, Georgia, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled Pharmacist Clinical- Prior Authorization to join our team at Elevance Health. As a key member of our clinical team, you will play a critical role in managing the selection and utilization of pharmaceuticals, supporting core clinical programs, and ensuring the highest level of care for our members.Key...
-
Atlanta, Georgia, United States Elevance Health Full timeJob Summary:As a Clinical Pharmacist Prior Authorization Specialist at Elevance Health, you will play a critical role in managing the selection and utilization of pharmaceuticals, supporting core clinical programs such as DUR, DIS, and formulary management. Your expertise will be essential in researching and synthesizing detailed clinical data related to...
-
Surgery Prior Authorization Coordinator
4 weeks ago
Atlanta, Georgia, United States PEDIATRIC EAR NOSE & THROAT OF ATLANTA PC Full timeJob Title: Surgery Prior Authorization SpecialistWe are seeking a skilled and detail-oriented individual to join our team as a Surgery Prior Authorization Specialist at Pediatric Ear Nose & Throat of Atlanta PC.Job Summary:The Surgery Prior Authorization Specialist is responsible for managing the prior authorization process for upcoming surgical cases. This...
-
Surgery Prior Authorization Coordinator
2 weeks ago
Atlanta, Georgia, United States PEDIATRIC EAR NOSE & THROAT OF ATLANTA PC Full timeJob Title: Surgery Prior Authorization SpecialistJob Summary:We are seeking a skilled and detail-oriented individual to join our team as a Surgery Prior Authorization Specialist at Pediatric Ear Nose & Throat of Atlanta PC.The ideal candidate will have a strong background in prior authorizations and insurance verification, with a focus on surgery, and will...
-
Prior Authorization Specialist
4 weeks ago
Atlanta, Georgia, United States Prestige Staffing Full timeJob OverviewPrestige Staffing is seeking a skilled Prior Auth Specialist to join our team. As a Prior Auth Specialist, you will be responsible for scheduling procedures and surgeries, obtaining benefits and eligibility for professional fees, and ensuring all necessary documentation is completed.ResponsibilitiesInitiate and follow up on precertification for...
-
Prior Authorization Pharmacist Specialist
4 weeks ago
Atlanta, Georgia, United States A-Line Staffing Solutions Full timeRemote Prior Authorization Pharmacist OpportunityA-Line Staffing Solutions is seeking a skilled Prior Authorization Pharmacist to join our team on a remote basis. This is a full-time position with a minimum of 40 hours per week.Compensation and BenefitsThe hourly rate for this position is $53.00.Full-time employees are eligible for benefits after 90 days of...
-
Prior Authorization Specialist
1 month ago
Atlanta, Georgia, United States Prestige Staffing Full timeJob Title: Prior AuthJob Overview:Prestige Staffing is seeking a skilled Prior Auth Specialist to join our team. As a Prior Auth Specialist, you will play a critical role in ensuring that patients receive the necessary medical procedures and treatments in a timely manner.Responsibilities:Initiate and follow up on precertification for commercial payers to...
-
UXO Technician II
3 days ago
Atlanta, Georgia, United States Tetra Tech Full timeAt Tetra Tech, we are collaborating with industry-leading experts to solve the world's most complex challenges. Our innovation hubs across the globe enable employees to share ideas and best practices while growing their professional network. We combine consulting and engineering with advanced analytics and technology to drive sustainable solutions.Your Role:...
-
UXO Technician II
5 months ago
Atlanta, United States Tetra Tech Full timeDiscover your full potential. At Tetra Tech, we are collaborating with industry-leading experts for a sustainable future for our world. We combine consulting and engineering with advanced analytics and technology to solve the world’s most complex challenges. Our innovation hubs across the globe will enable you to share ideas and best practices while...
-
Insurance Analyst II
4 weeks ago
Atlanta, Georgia, United States Spectraforce Technologies Full timeJob Title: Insurance Analyst IIJob Summary:We are seeking an experienced Insurance Analyst II to join our team at Spectraforce Technologies. As an Insurance Analyst II, you will be responsible for providing best-in-class customer service to patients, healthcare providers, and their staff through referral and call management. You will investigate patients'...
-
UXO Technician II
4 weeks ago
Atlanta, Georgia, United States Tetra Tech Full timeAbout the RoleTetra Tech is seeking a highly skilled UXO Technician II to join our team. As a UXO Technician II, you will be responsible for conducting UXO sweeps, identifying and mitigating explosive hazards, and ensuring the safe removal of unexploded ordnance.Key ResponsibilitiesConduct UXO sweeps in various environments, including urban and rural...
-
UXO Technician II
2 weeks ago
Atlanta, Georgia, United States Tetra Tech Full timeAbout the RoleTetra Tech is seeking a qualified UXO Technician II to join our team on a part-time as-needed basis. As a UXO Technician II, you will be responsible for conducting UXO sweeps and clearances, storing explosive materials, and determining precise locations in the field environment.Key ResponsibilitiesProperly store explosive materials per...
-
UXO Technician II
1 month ago
Atlanta, Georgia, United States Tetra Tech Full timeAbout the RoleTetra Tech is seeking a qualified UXO Technician II to join our team on a part-time as-needed basis. As a UXO Technician II, you will be responsible for performing a variety of tasks related to unexploded ordnance (UXO) detection and disposal.Key ResponsibilitiesProperly store explosive materials in accordance with applicable guidance.Determine...
-
UXO Technician II
4 weeks ago
Atlanta, Georgia, United States Tetra Tech Full timeAbout the RoleTetra Tech is seeking a qualified UXO Technician II to join our team on a part-time as-needed basis. As a UXO Technician II, you will be responsible for conducting explosive ordnance disposal operations, including sweeping and clearing unexploded ordnance from various environments.Key ResponsibilitiesConduct UXO sweeps and clearances in...