Pharmacy Technician (Remote option available)
This a Full Remote job, the offer is available from: United States, North Carolina (USA)
Job Description...
Job Description
Job Title: Pharmacy Technician
Location: Remote
Duration: 6+ Months with possible extension
Job Description:
? Conducts non clinical reviews based on applicable criteria and guidelines on requested services. Communicates decision to provider and/or member, according to department protocols.
? Documents outcome of reviews and demonstrates the ability to interpret and analyze the non-clinical information.
? Completes verbal or non verbal outreach to providers or members to obtain the medical information for the review.
? Identifies and refers organization determinations that require a clinical review to a nurse or Medical Director.
? Conducts reviews of authorizations entered to ensure accuracy to avoid impacting claims payment.
? Supports the care management department by completing outreaches to members or providers to meet The Centers for Medicare & Medicaid Services (CMS) requirement for soliciting information or notification standards.
? Supports the administrative support team with the retrieval and attachment of facsimiles to ensure customer requests are forwarded to the respective area for processing.
? Serves as a subject matter expert for CM&O around the non-clinical review process.
Hiring Requirements
? High school diploma or GED
? 3+ years of experience in related field.
Company Description
Select Source International (SSI) is an IT, Health Care, and Engineering Services consulting firm that has been in business since 1998. SSI consultants have provided exceptional services that have been appreciated by clients, customers, and users alike at several large Fortune 500 companies, mid-size enterprises, and consulting companies.
Company Description
Select Source International (SSI) is an IT, Health Care, and Engineering Services consulting firm that has been in business since 1998. SSI consultants have provided exceptional services that have been appreciated by clients, customers, and users alike at several large Fortune 500 companies, mid-size enterprises, and consulting companies.
This offer from 'RemoteWorker CA' has been enriched by Jobgether.com and got a 75% flex score
Similar Remote Jobs
Pharmacy Technician (Remote option available)
Posted on: 22-10-2024 05:27
Post Merger Integration Senior Manager
Posted on: 22-10-2024 05:27
Night Shift Property Acquisition Specialist
Posted on: 22-10-2024 05:27
Call Center Representative (- Remote)
Posted on: 22-10-2024 05:27
Guest Experience Manager-Entertainment (Part Time)
Posted on: 22-10-2024 05:27
Online Order Filling Team Associate
Posted on: 22-10-2024 05:27
Online Order Filling Team Associate
Posted on: 22-10-2024 05:27
Online Order Filling Team Associate
Posted on: 22-10-2024 05:27
Online Order Filling Team Associate
Posted on: 22-10-2024 05:27
The Escapist: Freelance Weekend Writer
Posted on: 22-10-2024 05:27
Entry Level Product Tester (Part Time)
Posted on: 06-11-2024 04:54
Part Time Sales ? Flexible Work ? Work from Home
Posted on: 29-08-2024 00:00
Junior Product Review Writer - Entry Level / No Experience
Posted on: 16-09-2024 00:00
Online survey remote
Posted on: 14-11-2024 08:01
Silicon Validation Software Engineer: DevOps/Automation Engineer
Posted on: 24-01-2025 04:52
Nurse Reviewer I 5 Locations
Posted on: 05-01-2025 17:57
Data Science Sr Lead Analyst - Consumer Banking Complaints Model Review
Posted on: 29-08-2024 00:00
Part Time Home Based Jobs - Earn Extra Income from Home!
Posted on: 18-09-2024 00:00
CDL-A Company Driver
Posted on: 11-01-2025 15:33
Remote Contact Center Service Representative | WFH
Posted on: 09-12-2024 18:32