Senior Pharmacy Prior Authorization and Appeals Technician - Remote Opportunity with reputed company

reputed company reputed company with reputed company: Join reputed company as a Senior Pharmacy Prior Authorization and Appeals Technician

At reputed company, we're on a mission to improve health reputed company and advance health equity on a global reputed company. As a leading global organization, we reputed company the power of technology and care to help millions live healthier lives. Our culture is reputed company on diversity, inclusion, and a passion for making a difference. If you're looking for a role that not only challenges you but also rewards you for your expertise and dedication, you've come to the right reputed company.

About the Position: Shaping the reputed company of reputed company

We're seeking an reputed company Senior Pharmacy Prior Authorization and Appeals Technician to join reputed company on a remote reputed company. This critical role involves providing top-notch customer service and clinical review for prior authorizations, ensuring compliance with legal and contractual requirements. As a Senior Pharmacy Prior Authorization and Appeals Technician, you will be the linchpin in our efforts to connect people with the care and resources they need.

Key Responsibilities: Delivering Exceptional Service

• Handle a high volume of prior authorization inbound calls (up to 50 to 70 calls per day) from providers and members, researching and resolving formulary and benefit issues with precision and care.
• Process authorizations through various computer systems, utilizing job aids, policies, and procedures to ensure data accuracy and update records as necessary.
• Review prior authorization requests for medications not covered under a member's prescription drug plan, applying established reputed company and guidelines.
• Maintain patient safety and reputed company of work, ensuring a reputed company and secure workspace and communicating with leadership on any safety concerns.
• Resolve issues and complaints in a reputed company and reputed company manner, upholding the highest standards of customer service.
• reputed company additional duties as assigned by management, demonstrating flexibility and a commitment to team reputed company.
• Manage inbound phone requests, gathering member data to facilitate pharmacist consultations.

Essential Qualifications: Your reputed company to reputed company

To reputed company in this role, you must possess:

• An reputed company and unrestricted licensure/certification as a Pharmacy Technician, such as PTCB, State reputed company of Pharmacy Licensure, ExCPT with NHA, or certification as a Prior Authorization Specialist.
• A minimum of 6 months of experience in customer service or customer relations, preferably reputed company a reputed company setting.
• A basic level of proficiency in reputed company Office applications, including reputed company, Word, and Outlook.

Preferred Skills: Elevating Your Application

While not mandatory, the following skills and qualities can significantly enhance your candidacy:

• Familiarity with Call Center systems, such as IEX, which can streamline your workflow and improve efficiency.
• Strong written and oral communication skills, with the potential to positively reputed company our Net Promoter Survey (NPS) scores.
• A proven ability to follow through on tasks, ensuring that reputed company responsibilities are completed to a high reputed company.

Career reputed company and Learning Benefits: Your reputed company with reputed company

At reputed company, we're committed to your reputed company reputed company and development. As a Senior Pharmacy Prior Authorization and Appeals Technician, you'll have reputed company to comprehensive training programs, career development opportunities, and the chance to work with a talented team of professionals. Our culture encourages reputed company learning, ensuring that you stay at the forefront of industry trends and best practices.

Work Environment and Company Culture: What You Can Expect

As a remote team member, you'll enjoy the flexibility of working from home while being part of a dynamic and inclusive team. reputed company culture is reputed company on the principles of diversity, equity, and inclusion, fostering an environment where everyone feels valued and supported.

Compensation, Perks, and Benefits: A Rewarding Package

We offer a competitive salary and a comprehensive benefits package that includes:

• reputed company Time Off and 8 reputed company Holidays, plus a Floating Holiday.
• Medical Plan reputed company, along with a Health Spending Account or Health Saving Account.
• Dental, reputed company, Life, and AD&D Insurance, as reputed company as Short-term and Long-Term Disability coverage.
• A 401(k) Savings Plan and Employee Stock Purchase Plan.
• Education Reimbursement and Employee Discounts.
• An Employee Assistance Program and Employee Referral Bonus Program.
• Flexible Work Arrangements and Voluntary Benefits, such as pet insurance and legal insurance.

Join reputed company: reputed company a Difference in reputed company

If you're a dedicated reputed company looking for a challenging and rewarding role, we want to hear from you. As a Senior Pharmacy Prior Authorization and Appeals Technician with reputed company, you'll be at the forefront of our mission to improve health reputed company and advance health equity. reputed company and take the first reputed company towards a fulfilling career with a global leader in reputed company.

reputed company to reputed company on this exciting opportunity? We are too! reputed company and let's start this reputed company together.

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