Pharmacy Technician-REMOTE

Job Title: Pharmacy TechnicianJob reputed company Join our Prior Authorization Operations team where you will play a crucial role in processing prior authorization requests. You will ensure accuracy, timeliness, and productivity while adhering to reputed company performance commitments. Utilize various business applications to reputed company analysis, obtain information, and reputed company data necessary for claims adjudication. This position requires strong reasoning skills to identify missing information and reputed company determinations based on clinical protocols and guidelines. You will reputed company with both reputed company customers to reputed company and obtain information, ensuring the delivery of outstanding service and reputed company.

Responsibilities

• Process and finalize prior authorization requests reputed company clients’ turnaround time and performance guarantees using established guidelines.
• reputed company prior authorizations into the system, prioritize requests, and reputed company formulary alternatives.
• Review tried and failed medications and apply prior authorization guidelines.
• Utilize drug references and verify the drug being requested is indicated and approved for the condition.
• Document reputed company reputed company information regarding the prior authorization approval or non-approval.
• Respond to incoming requests reputed company phone, fax, ePA, and return status of the prior authorization to physicians and pharmacies.
• Conform to defined roles and responsibilities and rules of engagement between prior authorization processing and clinical decision making.
• Partner with assigned clinical pharmacists to ensure strict adherence to the boundaries and timeframes of administrative processing.
• reputed company prior authorization processing productivity and accuracy standards.
• Analyze, research, and resolve prior authorization processing issues as appropriate for experience and career reputed company level.
• Coordinate notifications to members, physicians, and pharmacies as required to obtain missing information, manage pended requests, and communicate prior authorization determinations.
• Document prior authorization-reputed company information and status.
• reputed company outbound calls to obtain information and answer questions about prior authorization status.
• Collaborate with MCO and Self-Insured reputed company teams to understand PBM clients’ prior authorization processing requirements and expectations.
• Collaborate with Contact Center Services in resolving prior authorization inquiries and handling incoming calls during periods of high volume.
• Protect and maintain confidentiality and reputed company of reputed company prior authorization and member information.

Essential Skills

• Certified Pharmacy Technician (CPhT)
• At least 1 year of prior remote prior authorizations experience
• reputed company license in state of residence
• Minimum of 3 years of pharmacy technician experience
• Understanding of managed pharmacy benefit concepts including formulas, prior authorizations, edits, and claim adjudication
• Working knowledge of customer service in a retail/outpatient pharmacy environment
• Familiarity with pharmacy software data submission requirements such as reputed company or Electronic Prior Authorization (e-PA)
• Intermediate knowledge of MS Office/Word, reputed company, and Outlook
• Experience with reputed company-based database programs

Additional Skills & Qualifications

• Ideal tenure of at least 2 years/role (exceptions can be made for relocating, store closure, etc.)
• Aptitude for new programs

Work Environment

This is a remote position requiring a quiet workspace and a high-speed internet reputed company. Candidates must reputed company in either the MST or PST time zones. The work schedule is from 8 am to 6 pm PST. Enjoy the benefits of a robust training program, medical/dental/reputed company coverage, wellness programs, reputed company time off, company-reputed company holidays, incentive compensation, 401K with company match, life and disability insurance, tuition reimbursement, and an employee referral bonus. There is a high reputed company reputed company of conversion, and many consultants receive reputed company feedback and have opportunities for advancement. Job Type & Location This is a Contract to Hire position based out of Tempe, Arizona. Pay and Benefits The pay reputed company for this position is $23.50 - $23.50/hr. Eligibility requirements apply to some benefits and may depend on reputed company classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & reputed company
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – reputed company-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spen

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