Pharmacy Technician, Prior Authorization
JobgetherNorth AmericaFull TimeHealthcare
Remotely
customer servicedocumentationutilization managementmedicare part bprior authorizationcphthealth plan
Job Description
📋 Description
- Review and process prior authorization requests in accordance with established policies
- Triage and enter incoming authorization requests from provider offices and coordinate the
- Apply preferred product strategies and collaborate with providers to support appropriate
- Contact hospitals and provider offices to obtain necessary clinical documentation and follow up on
- Communicate clinical decisions to provider groups and members while addressing questions and
- Provide operational support across medical management workflows, enabling pharmacists and
🎯 Requirements
- Hold an active Nationally Certified Pharmacy Technician (CPhT) certification with at least 3 years
- Demonstrated experience supporting Medicare Part B operations, such as pharmacy help desk
- Experience working with Medicare populations and a strong interest in supporting older adults.
- Prior utilization management experience is preferred.
- Strong proficiency with technology and digital collaboration tools, including Gmail/G Suite and
- Exceptional organization and attention to detail, with the ability to manage several tasks and
🎁 Benefits
- Base pay: $20.90–$26.25 per hour, with actual compensation based on qualifications, experience
- Employer-sponsored medical, dental, and vision coverage, with low or no employee premiums depending
- Generous paid time off.
- $100 monthly mobile or internet stipend.
- Stock options available to all employees.
- Bonus eligibility for eligible roles.
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