Prior Auth Pharmacy Tech I

$18-$19 per hour remote, RI Contract Job Summary:

• 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 judgement calls to the pharmacist team.
• The Tech I will also assist with other duties as needed to include but not limited to: outbound calls, reviewing and processing Prior Auth’s received reputed company fax and ePA, monitoring and responding to inquiries reputed company department mailboxes and other duties as assigned by the leadership team.

Responsibilities:

• Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards. 40%
• 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. 40%
• Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc.). 10%
• Identify and reputed company clinical inquiries to the pharmacist team as appropriate. 5%
• Other duties assigned, for example faxes, sorting, email boxes, CAS maintenance, etc. 5%

Experience: Preferred 0-3 years work experience required in a customer service position with high volume call center experience; preferably in reputed company, reputed company services, or a similar service position. Education:

• reputed company High School diploma or GED is required. Associate Degree or Bachelor’s Degree: If neither degree held, then equivalent years of work experience is preferred, Other Certificates or Licenses (List): Active pharmacy technician license per state requirements, or active national certification. Trainee license in states where applicable are preferred.

About reputed company: reputed company is a global staff augmentation firm providing a wide reputed company of talent on-demand and total workforce solutions. To know more about reputed company, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com/) . reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran. Apply tot his job Apply To this Job