Position :- Pharmacy Technician
Required
- Must have 2 year experience in Pharm prior authorization and medicare knowledge
- Two (2) years’ experience in retail or hospital Pharmacy required.
- Pharmacy Technician Certification (PTCB) preferred
Pay Rate: $22.75
Location: Remote (500 Renaissance Center Detroit Michigan 482430
Duration:- 6 Months
Shift:- Flexible
SUMMARY: Support providers (pharmacists and physicians) with Medicare Part D and/or Commercial pharmacy/ specialty drug benefits analysis, drug coverage inquiries and prior authorizations
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Answer telephones in an efficient and timely manner to lend appropriate assistance to providers
- Triage prior authorization requests under the supervision of a Clinical Pharmacist.
- Assists in maintaining pharmacy prior authorization criteria used in the adjudication of pharmacy/specialty claims.
- Analyzing written inquiries which lends to entry and updating of pharmacy authorizations into the claims system.
- Communicate coverage determination status to physicians and/or members and effectuate such decisions within the authorization tool.
- Troubleshoot problems, inquiries, and new processing procedures for coverage determinations.
Job Type: Full-time
Pay: From $22.75 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Vision insurance
Schedule:
Experience:
- Pharmacy technician: 2 years (Required)
- retail or hospital Pharmacy: 2 years (Required)
License/Certification:
- PTCB Certification (Required)
Location:
Work Location: Remote