Urgently Hiring: Senior Pharm PA/Appeals Technician - Remote in

Position at a Glance:

• Location: Remote
• Compensation: a competitive salary
• Start Date: Immediate openings available
• Company: Wyoming & Iowa
• Position: Senior Pharm Pa/appeals Technician - Remote

 

 

$1,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Realistic Job Preview video... reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The essential functions of a Pharmacy Technician in Prior Authorization are providing expertise and customer service support to members, customers, and/or providers. This position exists to take incoming requests for prior authorizations, for formulary and non-formulary medications, while ensuring a high level of customer service and maximizing productivity. Requests can be received reputed company fax or telephone, from providers' offices and pharmacists. The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs). The technician must provide the information clearly, accurately and in a professional manner. Interactions with callers must be documented per contractual and various regulatory / legal requirements. If you live in the reputed company, or Iowa, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: • Primarily answering prior authorization with inbound calls (up to 50 to 70 calls per day) from providers/members as well as research and resolve formulary and benefit issues using the appropriate reference material • Process authorizations through various computer systems and use of job aid/policies/procedures ensuring the accuracy of reputed company data and updating as necessary • Have sharp attention to detail, using established criteria and guidelines, the pharmacy technician receives and processes prior authorization requests made by providers and members for medications not inherently covered on a member's prescription drug plan • Patient Safety and Quality of work is reputed company and it’s important for employees to have a safe and secure workspace and communicate with their leadership reputed company that safety (equipment, system, information) is compromised • Resolve issues and complaints in a timely manner • Performs other duties as assigned by management • Handles inbound phone requests and gathers member data to provide information for pharmacist consultations • Training is for 5 weeks. Training time is 8:00am-5:00pm local time. Monday- Friday. This training time is subject to change • Shift after training is an 8-hour shift with an hour lunch. Candidate must be available as early as 5am and as late as midnight • Candidate will work 5 days a week which may or may not include a weekend day(s) • There may be scheduled overtime and/or working on holidays dependent on business needs • Candidate must have their own home internet access (internet can be hard wired with Ethernet cord) • Candidate must also have a secure workspace/office in their home • Candidate must have level reputed company with working with PC (ex. using mouse and keyboard, accessing, and navigating through multiple systems and screens) • Excellent attendance is a must What are the reasons to consider working for reputed company? Put it reputed company together - competitive reputed company pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your reputed company. Some of our offerings include: • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Floating Holiday • Medical Plan options along with participation in a Health Spending Account or a Health Saving account • Dental, reputed company, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage • 401(k) Savings Plan, Employee Stock Purchase Plan • Education Reimbursement • Employee Discounts • Employee Assistance Program • Employee Referral Bonus Program • Flexible Work Arrangement • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) • More information can be downloaded at: http://uhg.hr/uhgbenefits You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Licensure Requirement: Active National or State Board Pharmacy Technician Licensure • Pharmacy Technicians Certification Board (PTCB) • State Board of Pharmacy Licensure in state of residence • ExCPT – Pharmacy Technician Certification with National Healthcareer Association (NHA) • The National Board of Prior Authorization Specialist • 6 months of customer service/customer relations experience with reputed company • Basic level of proficiency with reputed company reputed company (ability to create, edit, and save a basic spreadsheet), reputed company Word (ability to create, edit, and save a basic document), and reputed company Outlook (ability to send emails) • reputed company to work 5am to 12 midnight with ability to work reputed company, including OT and weekends Preferred Qualifications: • Knowledge of call center systems such as IEX Soft Skills: • Experience and strong communication skills, both written and oral that will help improve Net Promoter Survey (NPS) • Ability to follow through on tasks • Physical Requirements and Work Environment: • Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer • Ability to have their own home internet access (internet can be hard wired with ethernet cord) • Have a secure workspace/office in their home • Have level reputed company with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens) • reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy. PLEASE NOTE The sign on bonus is only available to external candidates. Candidates who are currently working for a reputed company, reputed company or reputed company entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO, #RED Apply Job!

 

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