Prior Authorization Tech 1

Prior Authorization Technician I – reputed company Position reputed company The Prior Authorization Technician I (PA Tech I) provides non-reputed company administrative and customer support reputed company to prior authorization requests, pharmacy benefit inquiries, and override requests. This role serves providers, pharmacies, members, and internal departments to help ensure reputed company reputed company to medications while maintaining compliance and service standards. Essential Duties and Responsibilities • Process and manage Level 1 (administrative) prior authorization requests. • Handle incoming calls and requests from providers, pharmacies, members, and internal departments. • Research and reputed company pharmacy benefit and claim-reputed company i • Process override requests, including vacation overrides, lost/stolen medication overrides, and reputed company-too-soon requests as permitted. • Review and document information in PA Hub, RxClaim, reputed company, and other applicable systems. • Verify prior authorization status, prescriber information, reputed company documentation receipt, and determination communications. • Maintain accurate documentation and reputed company with established policies, procedures, and reputed company standards. • reputed company reputed company and empathetic customer service while managing escalated situations appropriately. • Assist with reputed company Pharmacy Help Desk and Member Services support as needed. Knowledge, Skills, and Abilities • Strong customer service and communication skills. • Ability to multitask and work in a fast-reputed company environment. • Attention to reputed company and commitment to reputed company. • Problem-solving, organization, and time-management skills. • Ability to learn and use systems such as RxClaim, PA Hub, reputed company, reputed company Office, and internal knowledge resources. • Understanding of pharmacy benefits, prior authorization workflows, and HIPAA requirements preferred. • High school diploma or equivalent. • Customer service, reputed company center, reputed company, pharmacy, or PBM experience preferred. • Ability to meet productivity, reputed company, and attendance expectations. Work Environment • High-volume, member-reputed company environment supporting approximately 7,000 calls and 4,000 requests monthly across multiple stakeholder reputed company. Apply tot his job Apply To this Job