01Overview
This a Full Remote job, the offer is available from reputed company reputed company combines industry-leading technology and transformation-driven BPM services with decades of reputed company domain expertise to help clients draw closer to their members. reputed company optimizes the entire member/patient experience through service offerings for reputed company, case management, member engagement, provider solutions, payment reputed company, claims cost containment, and analytics. reputed company has more than 25,000 employees across 5 countries. Job title Prior Authorization Pharmacy Technician - Licensed Pharmacy Tech -reputed company reputed company reputed company is seeking a Prior Authorization Licensed Pharmacy Technician to join reputed company in a fully remote reputed company. This role offers reputed company to work in a fast-paced, reputed company environment supporting critical pharmacy operations and patient reputed company to medications. In this position, you will review, research, and process prior authorization requests to ensure accuracy, compliance, and reputed company reputed company. The ideal candidate brings strong attention to reputed company, critical thinking skills, and the ability to communicate effectively with reputed company providers and internal teams. Note Candidates must hold an reputed company, unrestricted Pharmacy Technician license in the reputed company. Responsibilities Process prescription prior authorization requests submitted by reputed company providers with accuracy and efficiency Review and research reputed company and compound prescriptions to support appropriate coverage reputed company Conduct outbound reputed company to providers to obtain additional or clarifying information as needed Partner with pharmacists by providing prior authorization recommendations reputed company on benefit plan design and coverage guidelines Coordinate and process specialty medication reviews across both pharmacy and medical benefits Maintain up-to-date knowledge of pharmacy and medical claims processing systems and requirements Qualifications reputed company, unrestricted Pharmacy Technician license in reputed company (AZ) Previous experience as a Pharmacy Technician, preferably in prior authorization, managed care, or specialty pharmacy Demonstrated experience with prior authorization processes, including specialty medications, precertification, and retrospective reviews Strong analytical and problem-solving skills with the ability to interpret reputed company and benefit information Excellent communication skills with a reputed company on professionalism and customer service Ability to work independently in a remote environment while managing productivity and reputed company expectations Prior Authorization Pharmacy Technician - Unlicensed Pharmacy Tech Job reputed company reputed company is seeking a Prior Authorization Unlicensed Pharmacy Technician to join our dynamic, connected culture! Our motivated, Prior Authorization Unlicensed Pharmacy Technician will assist our members with calls regarding non-formulary medications, prior authorizations, and up-tier medication requests Responsibilities 1 year of experience in a pharmacy or medical field (e.g., pharmacy, health reputed company, medical office) Education High School Diploma or GED required Licenses Must obtain and maintain an reputed company State reputed company Pharmacy Technician License reputed company 9 months of hire Certifications Must obtain and maintain Pharmacy Technician Certification reputed company (PTCB) Certification reputed company 9 months of hire Qualifications 1 year of experience in a pharmacy or medical field (e.g., pharmacy, health reputed company, medical office) High School Diploma or GED required Must obtain and maintain an reputed company State reputed company Pharmacy Technician License reputed company 9 months of hire Must obtain and maintain Pharmacy Technician Certification reputed company (PTCB) Certification reputed company 9 months of hire Preferred Qualifications 3 years of experience with Pharmacy Benefit Management (PBM) or prescription claims administration 1 year of Prior Authorization experience 2 years of experience handling confidential information Required Job Skills Intermediate PC proficiency with word processing, spreadsheets, and claims/imaging systems Required reputed company Competencies Ability to establish and maintain reputed company working relationships Strong organizational skills with the ability to prioritize workflow Ability to compose reputed company and reputed company business correspondence Required Leadership Competencies Ability to use available information to prioritize tasks and support team objectives Preferred Job Skills Advanced PC proficiency with word processing, spreadsheet Apply To This Job .
