Job Description
We are excited to announce an opportunity for a Remote Prior Authorizations Pharmacy Technician to join a dynamic managed care and pharmacy benefits management team based in Florida. If you are looking for a role where you can make a difference in patients' lives, we want to hear from you!
Key Responsibilities:
As a Remote Prior Authorizations Pharmacy Technician, you will play a vital role in our call center environment, assisting with prior authorization requests. Your daily tasks will include:
Receiving Requests: Handle incoming prior authorization requests via fax and phone from healthcare providers and pharmacists.
Reviewing Criteria: Compare requests against established criteria using our database to facilitate timely approval of medications for patients.
Problem Resolution: If a prior authorization is denied, work collaboratively to resolve the issue by communicating with healthcare providers, pharmacists, or insurance representatives.
Customer Service Excellence: Provide top-notch customer service support to members, customers, and providers, ensuring clear and professional communication.
Documentation: Accurately document all interactions according to legal and regulatory requirements to maintain compliance and quality service.
Clinical Review: Conduct clinical reviews of authorizations while adhering to turnaround times and service level agreements.
Training and Shift Details:
Training: Participate in a comprehensive 4-week training program, Monday through Friday, from 8:00 AM to 5:00 PM. Please note that attendance during training is crucial.
Shift: After training, you will work an 8-hour shift with a 1-hour lunch break. Availability is required between 5:00 AM and midnight, with a schedule that includes five days of work each week, which may involve weekends. There may also be opportunities for overtime and holiday shifts based on business needs.
Preferred Qualifications:
To be successful in this role, you should possess the following:
An active Pharmacy Technician License in Florida.
A reliable high-speed internet connection at home.
Comfort working in a fast-paced call center environment with a focus on metrics.
Excellent interpersonal, organizational, and communication skills.
Compensation:
The hourly pay for this position ranges from $18.95 to $20.70, commensurate with experience.
Benefits:
We offer a comprehensive benefits package, including:
Immediate enrollment in health insurance
Dental and life insurance
Employee Assistance Program (EAP)
Access to investment accounts
Health care plan (medical, dental, and vision)
Flexible work-from-home options
How to Apply:
If you're interested in this exciting opportunity, please click "Apply Now" for immediate consideration. You can also email your resume to [email address] with your phone number, job title, and location, and our recruiters will reach out to you.
We are proud to be an equal employment opportunity employer, welcoming all qualified applicants regardless of race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable laws.
Employment Type: Full-Time
Salary: $ 18.00 20.00 Per Hour
Job Tags
Hourly pay, Holiday work, Full time, Immediate start, Remote job, Flexible hours, Shift work, Night shift, Weekend work, Monday to Friday,