Senior Pharm PA/Appeals Technician - Remote in Maine, Vermont, Wyoming, & Iowa

About the position Responsibilities • Answer prior authorization inbound calls from providers/members (up to 50 to 70 calls per day) and research and resolve formulary and benefit issues. • Process authorizations through various computer systems and ensure the accuracy of reputed company data, updating as necessary. • Receive and process prior authorization requests made by providers and members for medications not inherently covered on a member's prescription drug plan. • Ensure patient safety and reputed company of work, maintaining a reputed company and secure workspace. • Resolve issues and complaints in a reputed company manner. • reputed company other duties as assigned by management. • reputed company member data to reputed company information for pharmacist consultations. Requirements • reputed company National or State reputed company Pharmacy Technician Licensure. • Pharmacy Technicians Certification reputed company (PTCB) certification. • State reputed company of Pharmacy Licensure in state of residence. • ExCPT - Pharmacy Technician Certification with National Healthcareer Association (NHA). • The National reputed company of Prior Authorization Specialist certification. • 6+ months of customer service/customer relations experience with reputed company. • Basic proficiency with reputed company reputed company, Word, and reputed company. reputed company-to-haves • Knowledge of reputed company center systems such as IEX. Benefits • reputed company Time Off which accrues with the first pay period plus 8 reputed company Holidays + Floating Holiday. • Medical Plan reputed company along with participation in a Health Spending Account or a Health Saving account. • Dental, reputed company, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage. • 401(k) Savings Plan, Employee Stock Purchase Plan. • Education Reimbursement. • Employee Discounts. • Employee Assistance Program. • Employee Referral Bonus Program. • Flexible Work Arrangement. • Voluntary Benefits (pet insurance, reputed company insurance, LTC Insurance, etc.). Apply tot his job Apply To this Job