Duration: 11 months contract
Position Summary
This is a high-volume inbound healthcare call center position supporting the criteria-based prior authorization process. The Pharmacy Technician will assist members, providers, and other healthcare professionals by providing professional and courteous phone support, reviewing clinical information for completeness, and accurately documenting prior authorization determinations.
Key Responsibilities
- Handle high-volume inbound calls from members, providers, and healthcare professionals.
- Provide professional customer service and guide callers through the prior authorization process.
- Review clinical information and documentation for completeness based on established criteria.
- Accurately document approvals, denials, and case information in the appropriate systems.
- Transfer clinical questions and judgment calls to the pharmacist for further evaluation.
- Maintain compliance with regulatory requirements, policies, and internal procedures.
- Perform outbound calls as needed based on business requirements.
- Navigate multiple computer systems while maintaining accurate documentation.
- Maintain productivity, quality, and attendance standards in a structured, metrics-driven environment.
Required Qualifications
- Minimum 1 year of Pharmacy Technician experience, preferably in an administrative support or call center environment.
- Minimum 1 year of high-volume customer service or healthcare call center experience.
- Pharmacy terminology, medication processes, and prior authorization knowledge.
- Strong verbal and written communication skills.
- Strong computer skills, including word processing and spreadsheet applications.
- Ability to accurately document call activity and prior authorization information.
- Ability to work effectively in a fast-paced, high-volume environment.
- Verifiable High School Diploma or GED required.
Certification / Licensure
- Pharmacy Technician certification or state licensure is preferred but not required.
- Candidates must be eligible for state registration, certification, or licensure where applicable based on state regulations.
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.
AI Statement: By applying, you acknowledge that AI-assisted tools may be used during hiring.
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