Certified Pharmacy Tech 1 - Remote
Job Description Summary
Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria in a call center environment...
Job Description
? Determines appropriateness for medications. Communicates decision to physicians, physician's office staff, medical management staff and/or pharmacists.
? Research, resolves, and documents prior authorization outcomes in pharmacy system.
? Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician's office staff, medical management staff and/or pharmacists.
? Escalates requests to Pharmacist when request requires extensive clinical review or denial.
? Research, resolves, and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider and/or management.
? Performs other duties as required.
? For CPTs assigned to work the fax queue, responsibilities will also include:
? Clinically reviews coverage determinations with attention to detail, for medications via Fax. Communicates decision to physicians, physician's office staff, medical management staff and/or pharmacists within SLA (service level agreement) guidelines.
? Efficiently multi-tasks and monitors several queues and assignments. Adapts to team requirements as business needs change (e.g., fax work, pending queues, oral notifications, and failed faxes).
Company DescriptionBased in Eagan, MN. C4 Technical Services has been a national provider of contingent workforce solutions since 2003.
Women and Minority owned ? NMSDC Certified
Offices in MN (Corporate), TX, CA
Similar Remote Jobs
Certified Pharmacy Tech 1 - Remote
Posted on: 22-10-2024 05:25
Remote Call Center Customer Service Representative
Posted on: 22-10-2024 05:25
Destination Specialist (bi-lingual English/Spanish - $25/hr)
Posted on: 22-10-2024 05:25
Senior Client Accountant - Flexible working
Posted on: 22-10-2024 05:25
High paying online jobs no experience
Posted on: 22-10-2024 05:25
Part Time Senior Accountant (Job Share)
Posted on: 22-10-2024 05:25
3rd Shift Help Desk (25-30 hrs/week)
Posted on: 22-10-2024 05:25
Google Remote No Experience Jobs $25/Hour
Posted on: 22-10-2024 05:25
Remote Outbound Call Centre Sales Agent
Posted on: 22-10-2024 05:25
Sales Professional Remote Position Flexible Hours
Posted on: 22-10-2024 05:25
Customer Service Advisor Trainee
Posted on: 14-02-2025 07:18
Press Measurement Manager (contract)
Posted on: 31-01-2025 09:57
Counsel - ESPN
Posted on: 16-07-2024 18:53
Amazon Remote Data Entry Jobs ? No Experience Needed, Part-Time
Posted on: 15-08-2024 00:00
Remote Non-Profit Accountant (Full-Time)
Posted on: 11-01-2025 15:33
Remote/Teacher
Posted on: 16-07-2024 18:46
Delta Airlines remote jobs-(Work From Home)
Posted on: 15-11-2024 04:55
Remote Customer Service Sales Garden Grove, CA
Posted on: 16-11-2024 00:00
American Express Remote Jobs $30/Hour (WFH)
Posted on: 21-02-2025 00:00
[Entry Level/No Experience] UPS Data Entry jobs From Home ? WFH
Posted on: 16-07-2024 19:03