Prior Authorization Pharmacy Technician
O
Oscar HealthHealth Insurance
This is a remote position, open to candidates who reside in: Alabama; Arizona; Arkansas; Colorado; Connecticut; District of Columbia; Florida; Georgia; Idaho; Illinois; Indiana; Iowa; Kansas; Kentucky; Maine; Maryland; Massachusetts; Michigan; Minnesota; Missouri; Nevada; New Hampshire; New Jersey; New Mexico; North Carolina; Ohio; Oregon; Pennsylvania; Rhode Island; South Carolina; Tennessee; Texas; Utah; Vermont; or Virginia.Full-TimeJunior
Salary17.2 - 25.08 USD per hour
Apply NowOpens the employer's application page
Job Details
- Experience
- 2+ years of work experience
- Required Skills
- Customer service
Requirements
- 2+ years of work experience in a pharmacy related field in a retail or managed care plan setting and/or prior authorization experience
- Active, unrestricted Pharmacy Technician certification (CPhT)
- Excellent customer service
- Phone etiquette
- Typing skills
Responsibilities
- Use Oscar and vendor tools to determine eligibility, screen for required documents, create, process, and properly track pharmacy prior authorization requests
- Prepare, organize, and distribute pharmacy prior authorization requests for review by pharmacist/physician and respond to pharmacist/physician requests for additional information
- Collect relevant medical information (via telephone, fax, and portal) and apply the appropriate PA criteria, clearly documenting all communication and decision making
- Meet required decision-making timeframes, including promptly triggering escalation for cases requiring pharmacist review
- Communicate oral and written prior authorization outcome notifications that comply with standards and requirements for content and accuracy
- Compliance with all applicable laws and regulations
View Full Description & ApplyYou'll be redirected to the employer's site
