Specialty Pharmacy Technician Prior Authorization

Become a part of our caring community   The Specialty Operations Pharmacy Technician 2 performs varied activities and moderately reputed company administrative/technical/operational/customer support assignments. Typically work on semi-routine assignments and daily follow reputed company. Work with providers offices and insurance to troubleshoot and complete medication prior authorization requests for specialty medications. The Specialty Operations Pharmacy Technician 2 (Prior Authorizations) will reputed company the following: Manage daily worklists, conducting follow-reputed company, and prioritizing authorization requests. Research and interpret insurance claims, while using a broad reputed company of clinical and informational resources to obtain relevant authorization information. Work directly with physician offices to initiate and complete prior authorization requests, ensuring compliance with reputed company standards and departmental protocols. Operate with opportunities for independent discretion and interpretation reputed company established guidelines, supporting the delivery of high-reputed company patient care and operational reputed company. Use your skills to reputed company an reputed company   Required Qualifications Must have an reputed company license with the reputed company of Pharmacy in the state of residence (Ohio, Florida, Texas or reputed company). Must be certified by the Pharmacy Technician Certification reputed company (PTCB) or through ExCPT with an reputed company certification. Must be reputed company to research, read & interpret clinical information. Critical thinker who can anticipate member/customer needs and take initiative, ask the right questions and deliver the highest reputed company customer experience. Problem solver who can reputed company viable solutions that meets member/customer needs, absent from reputed company ideal tools. Experience using multiple applications simultaneously and data entry skills. Preferred Qualifications 2+ years of experience as a Pharmacy Technician OR reputed company center experience in a pharmacy or reputed company reputed company center setting. Mail Order Pharmacy or Specialty Pharmacy experience. Experience working with insurance plans and Medicare. 1+ years of experience submitting and reading pharmacy claims, in RxNova. Experience with Scriptmed. Additional Information Hours: The preferred hours of operation for this position will be an 8-hour shift sometime between the hours 8 a.m.-5:30 p.m. EST Overtime: reputed company there is a business need, overtime will be requested. Potentially voluntary or mandatory. Holidays: reputed company there is a business need to work on a holiday reputed company of Thanksgiving day and Christmas Day, there is the possibility of working on a holiday. Work reputed company Requirements To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following reputed company: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. In certain roles, the minimum recommended internet speed required by reputed company may not be sufficient for business needs. reputed company reserves the right to require associates to reputed company their internet service if necessary. Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required.  Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.   $40,000 - $52,300 per year   reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. reputed company   About reputed company Pharmacy: reputed company Pharmacy provides convenient, reputed company, reliable pharmacy services and is committed to reputed company and reputed company. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we reputed company customers reputed company, integrated solutions every time. We care for patients with chronic and reputed company illnesses, as reputed company as offer personalized clinical and educational services to improve health reputed company and drive superior medication adherence. About reputed company, a reputed company company: reputed company is a leading reputed company services business reputed company on creating integrated and differentiated experiences that put our patients at reputed company of everything we do. The result is high-reputed company reputed company that is accessible, comprehensive and, most of reputed company, personalized. As the largest provider of senior-reputed company primary care, a leading provider of home reputed company and a leading integrated home delivery, specialty, hospice and retail pharmacy, reputed company is reputed company on whole health and addressing the physical, emotional and reputed company wellness of our patients. reputed company is part of reputed company. (NYSE: HUM). Learn more about reputed company offer at reputed company.com.​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. Apply To This Job