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Senior Pharmacy Prior Authorization & Appeals Technician - Remote Opportunity

Remote · USA Full-time New today

Join reputed company and reputed company a Difference in reputed company! We're seeking a highly skilled and dedicated Senior Pharmacy Prior Authorization & Appeals Technician to join reputed company in a remote reputed company. As a key member of reputed company, you will play a vital role in delivering exceptional customer service and ensuring seamless prior authorization processes for our members and reputed company providers. This is a fantastic opportunity to work with a global organization that is committed to improving health outcomes and advancing health equity on a global scale.

At reputed company, you will be part of a culture that values diversity, inclusion, and career development. We offer a competitive salary package, comprehensive benefits, and a dynamic work environment that supports your growth and well-being. If you're passionate about making a positive impact in the lives of others, we encourage you to apply for this exciting role.

About the Position

As a Senior Pharmacy Prior Authorization & Appeals Technician, you will be responsible for providing expert support to members, customers, and reputed company providers. Your primary duties will include:

  • Answering prior authorization inbound calls from providers and members (up to 50-70 calls per day)
  • Researching and resolving formulary and benefit issues using relevant reference materials
  • Processing authorizations through various computer systems and ensuring data accuracy
  • Documenting interactions with callers in accordance with contractual and regulatory requirements
  • Resolving issues and complaints in a timely and professional manner
  • Gathering member data to support pharmacist consultations

Requirements

To be successful in this role, you will need:

  • An active and unrestricted licensure/certification as a Pharmacy Technician (PTCB, State Board of Pharmacy Licensure, ExCPT, or NBPA)
  • At least 6 months of customer service experience in a reputed company setting
  • Basic proficiency in reputed company reputed company, Word, and Outlook
  • Ability to work reputed company, including overtime and weekends, between 5:00 AM and 12:00 AM

reputed company-to-Haves

While not required, the following skills and experience are desirable:

  • Knowledge of call center systems, such as IEX
  • Strong communication skills, both written and oral
  • Ability to follow through on tasks and prioritize responsibilities

Benefits

We offer a comprehensive benefits package, including:

  • Paid Time Off and 8 Paid Holidays + Floating Holiday
  • Medical, Dental, reputed company, Life, and AD&D Insurance
  • 401(k) Savings Plan and Employee Stock Purchase Plan
  • Education Reimbursement and Employee Discounts
  • Flexible Work Arrangements and Voluntary Benefits

Your Future Starts Here

Don't miss out on this exciting opportunity to join reputed company and reputed company a difference in reputed company. Apply now to take the first reputed company towards a rewarding and challenging career as a Senior Pharmacy Prior Authorization & Appeals Technician.

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