Remote Pharmacy Technician - Prior Authorizations Specialist

This a Full Remote job, the offer is available from: United States, Indiana (USA)

## Remote Opportunity for Pharmacy Technicians...

### Job Overview

A remote opportunity is available for Pharmacy Technicians with a focus on Indiana Medicaid Rx. This position offers a competitive starting rate of $16.00 per hour, along with full benefits, paid holidays, and paid time off (PTO) starting from day one. Please note, this opportunity is exclusively for residents of Indiana.

### About the Company

This employer is a proud woman-owned business recognized among the Best Places to Work in Indiana. The organization values diversity, equity, and inclusion and is committed to being an equal opportunity employer.

### Responsibilities
? Provide exceptional customer service to Indiana Medicaid members and healthcare providers regarding pharmacy coverage and claims processing.
? Handle inbound calls related to pharmacy location inquiries, coverage questions, and medication pricing.
? Review and process requests for prescription prior authorization and appeals.
? Scan, index, and prepare documents for prior authorization and appeals, ensuring accurate patient/member profile information.
? Collect and compile medical documentation from patients and providers to support authorization requests.
? Evaluate requests using established decision trees and protocols, reaching out for additional information when necessary.
? Update claims systems with approved requests and promptly notify patients and providers.
? Communicate any denials clearly and work to forward requests for further review when required.

### Qualifications
? High school diploma or equivalent.
? 1-2 years of pharmacy experience in settings such as retail, long-term care, or hospitals.
? A valid Indiana Pharmacy Technician license.
? National CPhT certification or the ability to obtain it within six months of hire.
? Proficient with computers, data entry, and Microsoft Office Suite.
? Strong organizational and time management skills to handle multiple priorities effectively.
? Excellent customer service orientation and a positive attitude.
? Strong interpersonal and communication skills.
? Ability to pass E-Verify, a criminal background check, and a pre-employment drug screening.
? Willingness to work overtime as needed to achieve department goals.

### Preferred Qualifications
? Experience with Medicaid or government healthcare programs.
? Previous remote working experience.
? Call center experience.
? Inbound/outbound call experience in a pharmacy setting.

If you are detail-oriented, motivated, and enthusiastic about supporting the Medicaid community, we encourage you to explore this opportunity!

Employment Type: Full-Time
This offer from 'Get It Recruit - Healthcare' has been enriched by Jobgether.com and got a 75% flex score

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