Minimum (1) year experience in a customer service position
HIGH VOLUME CALL CENTER experience, preferably in healthcare
High School diploma or GED
Requirements:
Take in-bound calls from providers, pharmacies, members
Provide professional and courteous phone assistance
Maintain complete, timely and accurate documentation of reviews
Assist with outbound calls, reviewing and processing Prior Auth’s, and other duties as assigned
Job description
Job Description:
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.
Responsibilities:
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.
Experience:
Minimum (1) year experience required in a customer service position with HIGH VOLUME CALL CENTER experience, preferably in healthcare, social services, or a similar service position.
Skills:
Prior Authorization
Education:
High School diploma or GED is required.
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, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
