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Form of workJob Description
Position Summary:
This position involves receiving in-coming calls from members, providers, etc., and providing professional phone assistance through the criteria-based prior authorization process. The role requires maintaining complete, timely, and accurate documentation of all approvals and denials, and transferring all clinical questions and judgment calls to the pharmacist.
Duties:
This position involves receiving in-coming calls from members, providers, etc., and providing professional phone assistance through the criteria-based prior authorization process. The role requires maintaining complete, timely, and accurate documentation of all approvals and denials, and transferring all clinical questions and judgment calls to the pharmacist.
Duties:
- At least 1 year experience as a Pharmacy Technician coordinating activities in an administrative support function.
- National Pharmacy Technician certification. Eligible for state registration, certification, or licensure per state regulations.
- Advanced computer skills including word processing and spreadsheet utilization.
- Excellent customer service skills (written and verbal) are a must.
- Minimum of 1 year of experience required in a customer service position with high volume call center experience, preferably in healthcare, social services, or a similar service position.
- Verifiable High School diploma or GED is required.
