Will this position be required to work onsite for any reason at any time? Only required to go onsite if IT issues where they have to bring in their laptop or if they have an outage that lasts more than one day.
This is a fully remote position, but would prefer candidates be from Michigan, southeast area or south of Flint
The pharmacy technician will assist in providing pharmacy services. Other related skills may be required to perform this job.
Qualifications:
High school diploma or GED. One year pharmacy experience working under a license pharmacist or completion of certified pharmacy technical program. Working knowledge of third-party claims process. Please see job description for a more thorough listing of requirements for this position.
Engagement Description – PA Specialist in Pt B Pharmacy will support providers (physicians and other healthcare providers rendering medical care) with Medicare Part B drug coverage inquiries, and prior authorizations.
Top 3 Required Skills/Experience –
• 2-4 years Specialty and/or Retail Pharmacy
• Experience in provider/member call center or helpdesk
• Process prior authorization requests
Required Skills/Experience – The rest of the required skills/experience. Include:
• Knowledge of specialty prescription drug names, NDC drug codes, therapeutic classes and claims processing preferred
• Call Center or Helpdesk experience. Ability to communicate effectively with providers and members.
• Analyzing written, faxed, and verbal inquiries which may lead to entry of medical authorizations into the online provider facing webtool.
Preferred Skills/Experience – Optional but preferred skills/experience. Include:
• Prior Authorization on Pt B specialty medications
• Knowledge or pricing NOC drugs
• Familiarity with Medicare Guidelines and Timeframes
• Knowledge of pharmacy and/or medical claims processing
• Proficient in Microsoft Office Products
Education/Certifications – Include:
• High School Graduate of GED equivalent required. Two (2) years of college preferred.
• Pharmacy Technician Certification (PTCB) preferred
Work Environment
This position is fully remote. There may be some occasional requirement to work in Southfield or South Lyon location if internet or system issues prevent candidate from working in their remote location. This position is with a Pharmacy Helpdesk with incoming and outgoing calls from both members and providers and therefore candidate should have a designated workspace that is free from noise and disruptions. Additionally, workspace would have to be conducive to protecting PHI.
Blue Gems Management is one of Floridas fastest-growing vacation rental management companies. We help homeowners maximize income while delivering five-star hospitality that keeps guests returning. As we continue to scale, were hiring a Business Development Associate...
...JRN: 2212 A private family on the Upper East Side is seeking a warm, energetic, and experienced Live-In Nanny to care for their twin boys. The family is looking for someone who is engaging, flexible, and has prior experience with twins or children close in age (ideally...
...Lead a Recruiting Division in Building Materials | SnapDragon Associates Ready to run your own team and take ownership of a vertical you know best? SnapDragon Associates, the top executive search firm in the Building Materials space, is looking for experienced recruiters...
We have a direct hire opening for a Construction Estimator in Anaheim at a commercial general contractor that specializes in tenant improvements and renovation projects across Southern California. You will accurately forecast the costs, materials, and labor necessary...
...Executive Administrative Assistant Who We Are At Feetures, movement is our business. And we believe that a meaningful business begins with authentic valuesand our values were forged by the bonds of family. What started as a bold idea around a kitchen table...