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Posted 15 days ago
Requirements and responsibilities
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 Auth's received via fax and ePA, monitoring and responding to inquiries via department mailboxes and other duties as assigned by the leadership team.
Duties:
- They must understand they cannot be the primary caregiver to anyone in their home during scheduled work hours.
- At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function.
- National pharmacy technician certification.
- Eligible for state registration, certification or licensure per state regulations.
- Advanced computer skills including word processing and spreadsheet utilization.
- Excellent customer service skills (written and verbal) a must.
Experience:
- Minimum 2 years experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position.
Education:
- Verifiable High School diploma or GED is required.
- Pharmacy Technician license or certification (active and no restrictions).
Work Schedule:
- Monday to Friday 11am - 11pm CST; SHIFT DETERMINED BASED ON NEED.
Optionally, you can add more information later (benefits, pre-screening questions, etc.)