Specialty Pharmacy Technician, Prior Authorization

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🔥 0 minutes ago

🌵 Arizona, Florida, +2 more states – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🏈 Ohio – Remote 🤠 Texas – Remote

💵 $40k - $52.3k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💊 Pharmacist

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CenterWell Senior Primary Care

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

Healthcare Insurance

CenterWell Senior Primary Care is a healthcare provider focused on delivering personalized primary care to senior citizens. The company emphasizes a comprehensive and holistic approach to healthcare, addressing the physical, social, and emotional needs of older adults. As part of its service offerings, CenterWell includes home health services and pharmacy support to complement its senior primary care. The organization is committed to offering stability, inclusive benefits, and career growth opportunities for its employees while maintaining a culture of mutual respect and mindfulness. CenterWell is a brand under the larger healthcare entity, Humana.

📋 Description

• Perform varied activities and moderately complex administrative/technical/operational/customer support assignments • Manage daily worklists, conducting follow-ups, and prioritizing authorization requests • Research and interpret insurance claims while using a broad array of clinical and informational resources • Work directly with physician offices to initiate and complete prior authorization requests • Ensure compliance with quality standards and departmental protocols • Support the delivery of high-quality patient care and operational excellence

🎯 Requirements

• Must have an active license with the Board of Pharmacy in the state of residence (Ohio, Florida, Texas or Arizona) • Must be certified by the Pharmacy Technician Certification Board (PTCB) or through ExCPT with an active certification • Must be able to research, read & interpret clinical information • Critical thinker who can anticipate member/customer needs and take initiative, ask the right questions and deliver the highest quality customer experience • Problem solver who can find viable solutions that meet member/customer needs, absent from all ideal tools • Experience using multiple applications simultaneously and data entry skills • 2+ years of experience as a Pharmacy Technician OR call center experience in a pharmacy or related call center setting • Mail Order Pharmacy or Specialty Pharmacy experience • Experience working with insurance plans and Medicare • 1+ years of experience submitting and reading pharmacy claims, in RxNova • Experience with Scriptmed

🏖️ Benefits

• Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Volunteer time off • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance