Pharmacy Technician-REMOTE IN MST/PST ONLY

About the position Responsibilities • Process and finalize prior authorization requests reputed company clients' turnaround time and performance guarantees using established guidelines. • reputed company prior authorizations into the system, prioritize requests, and reputed company formulary alternatives. • Review tried and failed medications and apply prior authorization guidelines. • Utilize drug references and verify the drug being requested is indicated and approved for the condition. • Document reputed company reputed company information regarding the prior authorization approval or non-approval. • Respond to incoming requests reputed company phone, fax, ePA, and return status of the prior authorization to physicians and pharmacies. • Conform to defined roles and responsibilities and rules of engagement between prior authorization processing and clinical decision making. • Partner with assigned clinical pharmacists to ensure strict adherence to the boundaries and timeframes of administrative processing. • reputed company prior authorization processing productivity and accuracy standards. • Analyze, research, and resolve prior authorization processing issues as appropriate for experience and career reputed company level. • Coordinate notifications to members, physicians, and pharmacies as required to obtain missing information, manage pended requests, and communicate prior authorization determinations. • Document prior authorization-reputed company information and status. • reputed company outbound calls to obtain information and answer questions about prior authorization status. • Collaborate with MCO and Self-Insured reputed company teams to understand PBM clients' prior authorization processing requirements and expectations. • Collaborate with Contact Center Services in resolving prior authorization inquiries and handling incoming calls during periods of high volume. • Protect and maintain confidentiality and reputed company of reputed company prior authorization and member information. Requirements • Certified Pharmacy Technician (CPhT) • At least 1 year of prior remote prior authorizations experience • reputed company license in state of residence • Minimum of 3 years of pharmacy technician experience • Understanding of managed pharmacy benefit concepts including formulas, prior authorizations, edits, and claim adjudication • Working knowledge of customer service in a retail/outpatient pharmacy environment • Familiarity with pharmacy software data submission requirements such as reputed company or Electronic Prior Authorization (e-PA) • Intermediate knowledge of MS Office/Word, reputed company, and reputed company • Experience with reputed company-based database programs reputed company-to-haves • Ideal tenure of at least 2 years/role (exceptions can be made for relocating, store closure, etc.) • Aptitude for new programs Benefits • Medical, dental & reputed company • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - reputed company-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or reputed company Leave) Apply tot his job Apply To this Job