IL
Pharmacy Tech I
ICONMA, LLC
🇺🇸 United States
Remote
4 days ago
$16 – $20 / hour
- prior authorization
- MS Office
- Outlook
- Excel
4 days ago
Responsibilities:
- The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process.
- Maintains complete, timely and accurate documentation of reviews.
- Transfers all clinical questions, escalations and judgement calls to the pharmacist team.
- The Tech I will also assist with other duties as needed to include but not limited to: outbound calls, reviewing and processing Prior Auth’s received via fax, portal requests, monitoring and responding to inquiries via department mailboxes and other duties as assigned by the leadership team.
- Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards.
- Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.
- Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc).
- Identify and elevate clinical inquiries to the pharmacist team as appropriate.
- Other duties assigned, for example faxes, sorting, email boxes, CAS maintenance, etc.
Requirements:
- Candidate should be comfortable utilizing the full MS Office Suite (MS TEAMS, Outlook are required and Word and Excel is helpful)
- At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function. (preferred)
- The Pharmacy Technician certification is preferred but not required at a state or national level.
- Will also consider a Pharm Tech Trainee license.
- High-Volume Healthcare Call Center Experience
- Minimum 1 year of inbound call center experience
- Healthcare, insurance, PBM, pharmacy, medical office, or similar environment preferred
- Strong customer service and communication skills
- Pharmacy Technician experience strongly preferred
- Active Pharmacy Technician License, Certification, or Trainee License preferred
- Ability to navigate multiple systems while handling calls
- Proficiency with Outlook and MS Teams required
- Strong data entry and documentation skills
- Minimum (1) year experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position.
- At least 6 + mos year experience as a pharmacy technician coordinating activities in an administrative support function.
- Advanced computer skills including word processing and spreadsheet utilization.
- Excellent customer service skills (written and verbal) a must.
- Verifiable High School diploma or GED is required.
- Active pharmacy technician license in good standing
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
Pharmacy Tech I · ICONMA, LLC