Prior Authorization Pharmacy Technician

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $38.4k - $54.9k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💊 Pharmacist

🦅 H1B Visa Sponsor

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Logo of Gainwell Technologies

Gainwell Technologies

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Handle inbound and outbound calls related to prior authorization requests and provider inquiries • Accurately process and document prior authorization requests within required timeframes • Provide courteous and knowledgeable support to healthcare providers across phone, email, fax, and web • Ensure all communications and data handling comply with HIPAA and internal confidentiality protocols • Collaborate with cross-functional teams to resolve issues and improve service delivery • Support Gainwell’s pharmacy benefit management services by managing provider inquiries and prior authorizations

🎯 Requirements

• At least 2 years of experience as a pharmacy technician in retail, hospital, managed care, insurance, or PBM • Active and current Certified Pharmacy Technician (CPhT) credential • Strong communication, documentation, and problem-solving skills • Proficient in Microsoft Office, email, and internet usage • Comfortable working in a fast-paced, team-oriented, call center environment

🏖️ Benefits

• Flexible work hours • Work-life balance • Continuous learning and career development • Remote work arrangement • Scheduling flexibility based on business and operational needs • Ongoing training and development • Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, and other employee support programs • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Flexible vacation policy

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