Pharmacy Tech I - Prior Authorization
Duration: 6 months contract Job Description: • The Prior Auth Tech I 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 all clinical questions, escalations and judgement calls to the pharmacist team. Responsibilities: • Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards. • Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers. • Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc). • Identify and elevate clinical inquiries to the pharmacist team as appropriate • Other duties assigned, for example faxes, sorting, email boxes, CAS maintenance, etc. Experience: • Minimum (1) year experience required in a customer service position with high volume call center atmosphere; preferably in healthcare, social services, or a similar service position. • If they have worked in a pharmacy before this translate over well. Skills: • Prior Authorization • Medicare and Medicaid • Call handling experience. Education: • Pharmacy Tech license preferred • PTCB Certification preferred • High School diploma or GED About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com. US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Recruiter Details: Name: Sahil Email: [email protected] Internal Id: 25-48361 Job Type: Contract Pay: $19.00 - $21.00 per hour Work Location: Remote Apply tot his job