Our team is hiring Pharmacy Technicians with Prior Authorizations experience. Responsibilities include approving or denying authorizations and sending some to Pharmacists for final review. You will handle all health plans and all types of medications. This role is 100% computer-based with little to no phone work.
Responsibilities
Process prescription exceptions which may include: resolving claim rejects and member and physician outreach.
Enter member demographics and prescription information into the data processing system.
Research and resolve rejected insurance billing issues and/or escalated member issues.
Escalate questions regarding prescription to a Pharmacist for interpretation or provide direction on processing.
Assist with inbound and/or outbound patient or physician calls.
Requirements
Registered pharmacy technician
Strong computer skills
Current Pharmacy Registration and Certification as required by state of operation
Work Environment
This is a professional REMOTE environment. You will work on multiple screens and within multiple systems.
You must have strong WiFi and your own office space with a closed door. You will be monitored in the system, and long periods of idleness could result in termination.
The shift is Monday-Friday, 8am-7pm in your time zone, with rotating weekends every 4-6 weeks. You must be able to work holidays and will bid for holiday schedules. Lunch breaks range from 30 minutes to an hour depending on team/business needs.
Training will be 10-6:30 EST, after which you will receive your regular shift. You must have WiFi, a work space, and a smart phone. Equipment provided includes a computer, monitor, and headset.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
Hiring diverse talent
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
Business Consulting and Services
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