Remote Pharmacy Technician (US - Illinois)
About Us:
Think Global - Expect Amazing! TalentWorldGroup is a Revolutionary Multilingual Contact Center. We are a truly peoples company, and we are on a mission to reinvent professional Home-Based Working and build the Workplace of the Future!
Position Overview:
We are seeking seven Remote Pharmacy Technicians based in the US, licensed in preferably from Illinois , to work for a premium client in the medical field. This is a fully remote/work-from-home position providing support to customers.
Key Responsibilities:
Review pertinent patient information and check appropriateness using clinical criteria.
Make approval recommendations on all services that meet clinical review criteria. Refer all cases not meeting clinical criteria to pharmacist clinical reviewer.
Practice and maintain the principles of utilization management by adhering to company policies and procedures.
Uphold clinical integrity of pharmaceutical solutions by participating in ongoing training programs to... ensure quality performance in compliance with applicable standards and regulations.
Assist with the documentation and implementation of both written and verbal communications to physicians/prescribers and assist in the maintenance of the edits and data elements that support the edits.
Be available for consultation on pharmacy-related questions to resolve claims submission related to medication edits.
Contact physicians/prescribers to obtain pertinent clinical history/information.
Provide optimum customer service through professional/accurate communication while maintaining NCQA and health plans required timeframes.
Regularly review and monitor information on pended claims identified as outliers by internal and/or external analysis of pharmacy claims data.
Support Intake call volume and order entry if necessary.
Determine eligibility for medication reimbursement based upon established clinical criteria and clinical knowledge and enter approvals or denials in the system.
Electronically document both written and verbal communications with physicians, their staff, cardholders, and pharmacies.
Escalate medical exception requests to nurse, pharmacist, or physician on the utilization review clinical team when further review is necessary.
Other duties as assigned.
Training Program:
Five weeks of paid training starting in September.
Training is fully remote/work-from-home.
$18 Training Hourly Rate.
Hourly rate of $20 after completing the training.
Requirements:
University Degree - Certified Pharmacy Technician (Required).
Licensed in Florida, Illinois, Indiana, or Wisconsin (Required).
Fluent in English (US) (Required).
Living in the USA due to HIPAA compliance.
4 to 6 years of supply chain or customer support service experience (Preferred).
Internet and Hardware Requirements:
Internet: Broadband connection with Ethernet-based LAN.
Processor: 1.8GHz upwards (64bit preferable).
RAM: 4GB upwards.
Storage: 10GB minimum.
Resolution: 1920x1080 preferred.
Headset: Wired USB.
Operating System: Windows 10 or upwards, Mac OSX 11 or upwards.
If you are a dedicated and compassionate Pharmacy Technician, we encourage you to apply quickly. Training begins in September, and we are eager to welcome you to our team.
Job Types: Full-time, Part-time, Contract
Expected hours: No less than 30 per week
Benefits:
Opportunities for advancement
Paid training
Referral program
Work from home
Physical Setting:
Telehealth
Schedule:
Day shift
Monday to Friday
Morning shift
No weekends
Application Question(s):
Are you available for an Interview this week?
Experience:
Pharmacy technician: 4 years (Required)
License/Certification:
Pharmacy Technician Certification (FL, IN, IL, or WI) (Required)
Work Location: Remote
Apply Now
Think Global - Expect Amazing! TalentWorldGroup is a Revolutionary Multilingual Contact Center. We are a truly peoples company, and we are on a mission to reinvent professional Home-Based Working and build the Workplace of the Future!
Position Overview:
We are seeking seven Remote Pharmacy Technicians based in the US, licensed in preferably from Illinois , to work for a premium client in the medical field. This is a fully remote/work-from-home position providing support to customers.
Key Responsibilities:
Review pertinent patient information and check appropriateness using clinical criteria.
Make approval recommendations on all services that meet clinical review criteria. Refer all cases not meeting clinical criteria to pharmacist clinical reviewer.
Practice and maintain the principles of utilization management by adhering to company policies and procedures.
Uphold clinical integrity of pharmaceutical solutions by participating in ongoing training programs to... ensure quality performance in compliance with applicable standards and regulations.
Assist with the documentation and implementation of both written and verbal communications to physicians/prescribers and assist in the maintenance of the edits and data elements that support the edits.
Be available for consultation on pharmacy-related questions to resolve claims submission related to medication edits.
Contact physicians/prescribers to obtain pertinent clinical history/information.
Provide optimum customer service through professional/accurate communication while maintaining NCQA and health plans required timeframes.
Regularly review and monitor information on pended claims identified as outliers by internal and/or external analysis of pharmacy claims data.
Support Intake call volume and order entry if necessary.
Determine eligibility for medication reimbursement based upon established clinical criteria and clinical knowledge and enter approvals or denials in the system.
Electronically document both written and verbal communications with physicians, their staff, cardholders, and pharmacies.
Escalate medical exception requests to nurse, pharmacist, or physician on the utilization review clinical team when further review is necessary.
Other duties as assigned.
Training Program:
Five weeks of paid training starting in September.
Training is fully remote/work-from-home.
$18 Training Hourly Rate.
Hourly rate of $20 after completing the training.
Requirements:
University Degree - Certified Pharmacy Technician (Required).
Licensed in Florida, Illinois, Indiana, or Wisconsin (Required).
Fluent in English (US) (Required).
Living in the USA due to HIPAA compliance.
4 to 6 years of supply chain or customer support service experience (Preferred).
Internet and Hardware Requirements:
Internet: Broadband connection with Ethernet-based LAN.
Processor: 1.8GHz upwards (64bit preferable).
RAM: 4GB upwards.
Storage: 10GB minimum.
Resolution: 1920x1080 preferred.
Headset: Wired USB.
Operating System: Windows 10 or upwards, Mac OSX 11 or upwards.
If you are a dedicated and compassionate Pharmacy Technician, we encourage you to apply quickly. Training begins in September, and we are eager to welcome you to our team.
Job Types: Full-time, Part-time, Contract
Expected hours: No less than 30 per week
Benefits:
Opportunities for advancement
Paid training
Referral program
Work from home
Physical Setting:
Telehealth
Schedule:
Day shift
Monday to Friday
Morning shift
No weekends
Application Question(s):
Are you available for an Interview this week?
Experience:
Pharmacy technician: 4 years (Required)
License/Certification:
Pharmacy Technician Certification (FL, IN, IL, or WI) (Required)
Work Location: Remote
Apply Now