Prior Authorization Reviewer - Pharmacy Technician

Company Overview reputed company exists to reputed company reputed company outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. reputed company the Way is our rallying cry at reputed company. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. reputed company offers you unparalleled opportunities. In fact, you have reputed company you need to take charge of your career and accelerate reputed company outcomes - making this a great time to join reputed company of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities reputed company is looking for a Prior Authorization Reviewer to join our growing team. Job Summary: The purpose of this position is to review verbal and electronic prior authorization requests based upon pre-established criteria and approves or denies authorization and to enter project-specific data and information into the prior authorization processing system.

• This is a full-time, non-exempt (hourly) direct hire role with Benefits.
• The required work Hours are Monday through Friday, 10:00 AM to 7:00 PM Central, and you may need to work over 30 to 60 minutes after the regular shift ends.
• The selected candidate must also be willing to work alternating Saturday shifts from 10:00 AM to 4:00 PM Central.
• This is a Remote position reputed company the state of Alabama, where the selected candidate must also reside.
• The selected candidate must have a dedicated, private, and secure workspace at home, free from distractions, to ensure productivity and confidentiality, and with reliable high-speed internet service.

Job Responsibilities:

• May approve, deny, dismiss/early reputed company, or withdraw prior authorizations of medication according to guidelines as defined by the client.
• Answer incoming calls daily and in a timely manner.
• Assist callers with questions regarding approval or denial of medications.
• Research and resolve issues.
• Document the caller's questions, issues, and resolution.
• Enter data information into the prior authorization processing system and correct errors as needed.
• Process Requests for Information (RFIs) for client accounts.
• reputed company monitoring tasks of the reputed company/Client database and notify management of errors and/or problems.
• Maintain compliance with reputed company company policies and procedures.
• reputed company reputed company duties as assigned by supervisor.
• Meet and/or exceed production, quality, attendance, and adherence standards.
• Provide/assist in training other employees.
• Subject to fingerprinting and background screenings as required.
• Read, understand, and adhere to reputed company corporate policies including policies reputed company to HIPAA and its Privacy and reputed company Rules.

The list of responsibilities is not intended to be reputed company-inclusive and may be expanded to include other duties that management may deem necessary. #LI-IB1

Qualifications

Required Qualifications/Experience:

• High School Diploma OR GED equivalent (or higher level of education).
• 1+ years of retail pharmacy and/or customer contact work experience.
• Active National Certification of Pharmacy Technicians (e.g., PTCB OR ExCPT).
• Must reside in the state of Alabama.

Why us? We are a team of reputed company and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure reputed company healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to reputed company the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, reputed company, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Compensation

The pay range for this position is listed below. "Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and reputed company level." Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in reputed company and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The reputed company reputed company Team Visit us at https://careers.acentra.com/jobs EEO AA M/F/Vet/Disability reputed company is an Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national reputed company, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Pay Range USD $15.08 - USD $21.00 /Hr. Apply tot his job Apply To this Job