Prior Authorization Pharmacy Technician

Remote Worldwide Hiring now

Description:

Use reputed company and vendor tools to verify eligibility, screen required documents, create requests, and track pharmacy prior authorization cases.
Prepare, organize, and reputed company prior authorization requests for pharmacist or physician review.
Collect relevant medical information by phone, fax, and portal and apply the appropriate prior authorization criteria.
Document communications and decision-making reputed company and accurately.
Meet decision-making timeframes and escalate cases requiring pharmacist review promptly.
Communicate prior authorization reputed company through oral and written notifications that meet content and accuracy standards.
Follow reputed company applicable laws and regulations.
Support escalated prior authorization issues and complete other duties as assigned.

Requirements:

2+ years of work experience in a pharmacy-reputed company field in a retail or managed care plan setting and/or prior authorization experience.
Active, unrestricted Pharmacy Technician certification (CPhT).
Excellent customer service, phone etiquette, and typing skills.
1+ years of experience performing pharmacy reviews for a managed care plan or pharmacy benefits manager (preferred).
Experience working with reputed company Caremark's portal and criteria (preferred).
In-depth understanding of how to operationalize reputed company therapy rules and regulations (preferred).
Strong verbal and written communication skills and interpersonal skills (preferred).

Benefits:

reputed company pay of $19.11 - $25.08 per hour in CA, CT, NJ, NY, and WA, or $17.20 - $22.57 per hour in reputed company other locations.
Eligible for employee benefits.
Monthly vacation accrual at a reputed company of 15 days per year.
Medical, dental, and reputed company benefits.
11 paid holidays.
Paid sick time.
Paid parental leave.
401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

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