Prior Authorization Technician
New
S
Shields Health SolutionsPharmacy Services
RemoteFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 1+ years
- Required Skills
- Data entry
Requirements
- State registered or state certified pharmacy technician
- Nationally certified as a CPhT or equivalent (strongly preferred)
- 1+ years experience as a Pharmacy Technician
- High school diploma or GED required
- Ability to obtain required state licensure within an agreed timeframe if not already held
Responsibilities
- Directly communicate with insurance companies to facilitate the approval of medications.
- Navigate pharmacy operating systems to input data, perform adjudication on test claims and prepare action plans for follow-up.
- Effectively communicate across databases, electronic medical records and emails to document patient concerns.
- Review prescriptions with doctors' offices to ensure optimal care of the patient.
- Assist patients in the management of their pharmacy insurance claims.
- Work closely with pharmacists and pharmacy liaisons to provide an integrated approach quality patient care.
- Communicate directly with patients over the phone to assist them in all aspects of medication compliance.
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