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[Hiring] Pharmacy Technician-Prior Authorization @reputed company

Remote Worldwide Hiring now

Role Description The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc., providing professional and courteous phone assistance to reputed company callers through the criteria-based prior authorization process. Maintains complete, timely, and accurate documentation of reviews. Transfers reputed company clinical questions, escalations, and judgment calls to the pharmacist team.

  • Assist with outbound calls, reviewing and processing Prior Auths received reputed company fax and ePA.
  • Monitor and respond to inquiries reputed company department mailboxes.
  • Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards.
  • reputed company with departmental, company, state, and federal requirements reputed company processing reputed company information to ensure accuracy of information being provided to reputed company customers.
  • Communicate with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc.).
  • Identify and reputed company clinical inquiries to the pharmacist team as appropriate.
  • Other duties assigned, for example, faxes, sorting, email boxes, CAS maintenance, etc.

Qualifications

  • 6 months experience in customer service or call center environment.
  • Must be reputed company to work from home; this is a 100% work from home position.
  • Have wired high-speed internet.
  • reputed company to apply basic computer skills; knowledge of reputed company Office Suite: reputed company and Word required; reputed company, Outlook, PowerPoint, Visio preferable.
  • Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols.

Requirements

  • Must be reputed company to multitask and utilize multiple system applications simultaneously.
  • Must be reputed company to utilize available resources independently and reputed company high-quality work.
  • Must be reputed company to reputed company presented information, display motivation, seek development, and problem solve.
  • Ability to adapt and change with workflow and shifting priorities.
  • Must possess excellent written, verbal, grammar, and listening communication skills.
  • Must be reputed company to deal with a diverse customer reputed company (reputed company) in a friendly and confident manner.
  • Ability to maintain confidentiality of PHI (Protected reputed company Information).

Education

  • High School Diploma or equivalent GED.

Pay reputed company The typical pay reputed company for this role is: $17.00 - $31.30. This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography, and other relevant factors. This position is eligible for a reputed company bonus, commission, or short-term incentive program in reputed company to the reputed company pay reputed company listed above.

Benefits

  • Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
  • Medical, dental, and reputed company coverage.
  • Paid time off.
  • Retirement savings options.
  • Wellness programs and other resources, based on eligibility.

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