REMOTE Pharmacy Technician/Prior Authorization- PTCB required
A-Line Staffing is actively searching for Multiple REMOTE Pharmacy Techs/Prior Authorization reps for a major healthcare company located in the Orlando, FL surrounding area. This is an exciting opportunity with a client that is looking to move fast for the right candidate. Please contact Brad Zidek at [email protected] for immediate consideration! Or call at 412-823-2500.
? ***Must have STATE LICENSE******
Job Description:
The Representative II will work closely with providers to process prior authorization , and drug benefit exception requests o in accordance with Medicare Part D CMS Regulations. Must apply information [provided through multiple channels] to the plan criteria defined through work instruction. Research and conduct outreach via phone to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close cases. Responsible for research and correction of any issues found in the overall process. Phone... assistance is required to initiate and/or resolve coverage requests. Escalate issues to Coverage Determinations and Appeals clinical pharmacists and management team as needed. Must maintain compliance at all times with CMS and department standards. Position requires schedule flexibility including rotations through nights, weekend and holiday coverage.
Experience:
1.Strong Attention to detail 2.Excellent verbal and written communication and interpersonal skills w/ ability to maintain patient confidentiality 3.Proficient computer skills and the ability to navigate in a Windows based environment 4.Ability to follow directions, and adapt in dynamic work environment; ability to adapt to change and remain flexible 5.Ability to work in a high pressure, time sensitive environment 6.Project a professional business image, through phone interaction as well as internal communications 7.Demonstrated problem-solving ability and attention to detail 8.Demonstrated sense of urgency with assignments 9.Strong organizational skills 10.Strong telephone skills 11.Ability to read and understand pharmacy/medical terminology 12.Ability to read, analyze and interpret general business correspondence, technical procedures and governmental regulations. 13.Ability to identify and solve practical problems and deal with a variety of concrete variables in standardized situations. Ability to perform basic mathematics calculations maybe required 14.Ability to interpret a variety of work instructions provided through a variety of mediums 15.Ability to anticipate needs and resolve issues with urgency 16.Ability to consistently meet quality and production standards 17.Displays confidence in the ability to learn complex material 18.Demonstrates intellectual curiosity through inquiries to ensure deep understanding of the business and deliver accurate results.
Please contact Brad Zidek at [email protected] for immediate consideration! Or call at 412-823-2500
Similar Remote Jobs
REMOTE Pharmacy Technician/Prior Authorization- PTCB required
Posted on: 15-10-2024 08:31
Data Entry and Quality Control Coordinator
Posted on: 15-10-2024 08:31
Data Entry Specialist - Part Time
Posted on: 15-10-2024 08:31
Lowe?s ? FT-Cashier-Day ? Wilmington, NC
Posted on: 15-10-2024 08:31
Data Entry Associate Remote Flexible Opportunity
Posted on: 15-10-2024 08:31
Member Services - Customer Service Representative
Posted on: 15-10-2024 08:31
Disney Jobs Remote :: Us $24Hr
Posted on: 15-10-2024 08:31
Online Client Engineer - AAA (Remote)
Posted on: 15-10-2024 08:31
American Express Remote Jobs Arizona $26Hr
Posted on: 15-10-2024 08:31
American Express Job Openings Cincinnati $26/Hour
Posted on: 15-10-2024 08:31
Target Virtual Data Entry – Entry Level No Experience Needed
Posted on: 12-09-2024 00:00
PT for Home Health (Joliet Area)
Posted on: 20-11-2024 13:46
CVS Data Entry Jobs (Remote) $25/Hour - No Experience
Posted on: 16-07-2024 18:38
Part-Time Store Cashier/Stocker
Posted on: 25-11-2024 05:19
Remote Call Center Agent (Part Time / Entry Level / No Experience)
Posted on: 01-07-2024 16:52
Yelp Spam Comment Removing Assistant In Philippines
Posted on: 03-02-2025 00:00
Shelter Support Staff 7AM-3PM ? Philly Home at Girard
Posted on: 28-01-2025 06:22
Amazon Customer Support Specialist – No Experience
Posted on: 12-09-2024 00:00
Corporate Travel Advisor ? Direct24 ? Remote
Posted on: 03-02-2025 00:00
Care Coordinator/Life Skills Instructor-Youth & Family HCBS
Posted on: 09-07-2024 07:20