تم وضع المناقشة في: غيرها في بوسطن | علق: |
Position Title: Prior Authorization Tech I
Duration: 04 Months with possibility of extension
Location: Remote
Shift hours: 8-hour shift Monday to Friday anywhere between 8:00 am to 12:00 am CST; possible weekends
NOTE: Training schedule is approximately three weeks starting 07/08/2024, Monday to Friday 8:00am - 4:30pm CST, then schedule will be assigned: Expected shifts to be 8 hours per day, Monday through Friday between 8am CST and 12AM CST, with potential weekend requirements.
Position Summary:
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 Auths received via fax, portal requests, monitoring and responding to inquiries via Customer mailboxes and other duties as assigned by the leadership team.
Qualification:
Minimum (1) year experience required in a customer service position with high volume call center experience in healthcare, social services, or a similar service position.
At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function.
Advanced computer skills including word processing and spreadsheet utilization.
Excellent customer service skills (written and verbal) a must.
Required: Verifiable High School diploma or GED.
Preferred Qualification:
Associate degree or bachelors Degree: If neither degree held, then equivalent years of work experience.
Active pharmacy technician license per state requirements, or active national certification.
