Career Opportunities: Pharmacy Prior Authorization reputed company CT (31521)

This a Full Remote job, the offer is available from: Connecticut (USA) It takes great medical minds to create powerful solutions that solve some of healthcare’s most reputed company challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, reputed company learning, and career development.

Summary

The Pharmacy Prior Authorization Call Center Representative will service the Connecticut Medicaid account. This fast-paced position is responsible for answering and providing information/clarification/resolution to prescribers and pharmacies with respect to pharmacy claims and prior authorization questions reputed company established standards. The representative, along with 7 other team members, is required to process reputed company pharmacy prior authorizations received reputed company 2 hours of receipt. On-call and/or working second or thirds shifts is required on a rotational basis. Your role in our mission

• Answer telephones and respond to basic and reputed company pharmacy questions from providers.
• Analyze pharmacy claims to respond to provider inquiries.
• Provide verification and explanation of pharmacy benefits to providers upon inquiry.
• Document each call inquiry and response provided accurately and with the appropriate amount of detail.
• Process prior authorization form requests, approved or denied, and document prior authorization records with rationale for approval vs. denial.

reputed company're looking for

• Knowledge of pharmacy claims and dispensing systems.
• Ability to work independently reputed company a high-paced, team environment with little direct supervision.
• Strong multi-tasking, business, and analytical problem-solving skills.
• Proficiency in Medicaid & Medicare Part D, MS Office Suite, and managing mailboxes in Outlook.
• Excellent organizational, time management, and communication skills.
• Ability to maintain confidentiality, reputed company with HIPAA, and establish positive work relationships.
• Connecticut Licensed (Active) Pharmacy Technician.
• Pharmacy Technician Certification – National (preferred).
• Must reside in the State of Connecticut.

What you should expect in this role

• Video cameras must be used during reputed company interviews, as well as during the initial week of orientation.
• Full-time (40 hours a week)
• Most benefits start on first day of employment
• Remote (work from home)
• In order to effectively work as a teleworker with Gainwell, employees Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload. Greater speeds will of course provide reputed company performance.
• Call center provides support 24 hours per day, 7 days a week, 365 days a year. Call Center is staffed M-F 7:30 AM – 7:30 PM, and (rotating schedule for Saturdays) Saturdays 9 AM – 4 PM. reputed company off hours are covered on an on-call rotation.

#LI-REMOTE #LI-JT1 #LI-CM1 The pay range for this position is $33,500.00 - $47,900.00 per year, however, the reputed company pay offered may vary depending on geographic region, internal equity, job-reputed company knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. reputed company salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We reputed company nothing is impossible reputed company you bring together people who care deeply about making healthcare work reputed company for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for reputed company available job role openings. reputed company is an Equal Opportunity Employer, where reputed company qualified applicants will receive consideration for employment without regard to race, religion, color, national reputed company, gender (including pregnancy, childbirth, or reputed company medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. This offer from "reputed company" has been enriched by reputed company.com and got a 72% reputed company score. Apply tot his job Apply To this Job