Minimum 2 years of experience in a high volume call center - healthcare or PBM/prior authorization-related preferred
Must have some familiarity with medical terminology and coding
Pharmacy Technician license with no restrictions, must be active
National pharmacy technician certification or certification or licensure per state regulations
Requirements:
Takes in-bound calls from providers, pharmacies, members, providing professional assistance through the criteria based prior authorization process
Maintains complete, timely and accurate documentation of reviews
Transfers all clinical questions, escalations, and judgment calls to the pharmacist team
Assists with other duties as needed, including outbound calls, processing Prior Auth’s received via fax and ePA
Job description
Our Client, a Retail Pharmacy company, is looking for a Pharmacy Tech I for their Remote location.
Responsibilities:
The Tech I Prior Auth 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.
The Tech I will also assist with other duties as needed to include but not limited to: outbound calls, reviewing and processing Prior Auth’s received via fax and ePA, monitoring and responding to inquiries via department mailboxes and other duties as assigned by the leadership team.
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process.
Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
Requirements:
Minimum 2 years of experience in a high volume call center - healthcare or PBM/prior authorization-related preferred.
Make sure this is obvious on the candidate's resume to ensure proper shortlisting.
Must have some familiarity with medical terminology and coding.
Pharmacy Technician license with no restrictions, must be active
National pharmacy technician certification or certification or licensure per state regulations.
Advanced computer skills including word processing and spreadsheet utilization.
Excellent customer service skills (written and verbal) a must.
At least 2 year experience as a pharmacy technician coordinating activities in an administrative support function.
Verifiable High School diploma or GED is required.
Pharmacy Technician license or certification (active and no restrictions)
ICONMA is an Equal Opportunity Employer. All qualified applicants will receive considerationfor employment without regard to any status protected by applicable law.
