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.
...General Manager About the Opportunity Bell Brothers , a leading residential HVAC, plumbing, and electrical service provider in the Greater Sacramento area, is seeking a dynamic and experienced General Manager to lead our team. We are a proud member of Champions...
LoCAs mission is to utilize innovative technology to increase the value of artists in their communities. Currently we do this through rotating art shows in businesses (cafes, restaurants, salons, offices ) and artist talks at senior living centers. We are an early stage...
Position Summary: Employee works with other members of the patient care team to deliver care to specific patient populations. The... ...completed a CNA training course, or minimum of 1 year experience in a nurse aide or equivalent role or be currently enrolled in a licensed...
...Commission on Cancer Accredited Program through demonstrating an uncompromising commitment to improving patient survival and quality of life. Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems...
...Position Requirements: Must have crane permit from previous employer and 6 months experience with remote or cab ridden 20-ton crane... ...and C-Hook. Must have completed crane test and have crane operating permit on their person at all times. Must be able to pass a...