Remote Prior Authorizations Pharmacy Technician - Work from Home Opportunity with a Leading Managed Care Company in Florida

Remote Full-time
Join Our Team as a Remote Prior Authorizations Pharmacy Technician At HealthCare Support, we're committed to connecting talented professionals with exciting career opportunities in the healthcare industry. We're currently seeking an experienced and skilled Remote Prior Authorizations Pharmacy Technician to join our client's team, a large managed care and pharmacy benefits management company based in Florida. As a Remote Prior Authorizations Pharmacy Technician, you'll play a critical role in ensuring that patients receive the medications they need in a timely and efficient manner. About Our Client and the Industry Our client operates in the rapidly evolving healthcare industry, where the demand for skilled professionals is constantly growing. As a leader in managed care and pharmacy benefits management, they provide essential services to patients, healthcare providers, and insurance companies. By joining their team, you'll be part of a dynamic organization that's dedicated to improving healthcare outcomes and making a positive impact on people's lives. Key Responsibilities As a Remote Prior Authorizations Pharmacy Technician, you'll be responsible for: Receiving and processing prior authorization requests via fax or incoming calls, ensuring timely and accurate review and processing. Comparing prior authorization requests to a set of criteria on UHG's database to determine approval or rejection. Providing expertise and customer service support to members, customers, and providers, resolving issues and addressing concerns in a professional and courteous manner. Conducting clinical reviews for authorizations, adhering to legal and contractual requirements, including turnaround times (TATs) and service level agreements (SLAs). Documenting interactions with callers per contractual and regulatory requirements. Working in a fast-paced call center environment, meeting productivity and quality standards. Essential Qualifications and Skills To succeed in this role, you'll need: An active Pharmacy Technician License in the state of Florida. A high-speed internet connection at home, ensuring reliable and secure connectivity. Excellent interpersonal, organizational, and communication skills, with the ability to work effectively in a call center environment. The ability to work in a fast-paced, metric-based environment, meeting productivity and quality standards. Preferred Qualifications While not required, the following qualifications are highly desirable: Previous experience working in a call center or customer-facing environment. Knowledge of pharmacy benefits management and prior authorization processes. Strong analytical and problem-solving skills, with the ability to resolve complex issues. What We Offer As a Remote Prior Authorizations Pharmacy Technician with our client, you'll enjoy: A competitive hourly salary of $18.95 - $20.70. A flexible, hybrid remote work arrangement, allowing you to work from home with a structured schedule. Immediate enrollment in Health Insurance, Dental Insurance, and Life Insurance. Access to an Employee Assistance Program (EAP) and Investment Accounts. A comprehensive Health Care Plan, including Medical, Dental, and Vision coverage. Training and Shift Details Our client provides comprehensive training for this role, which includes: 4 weeks of training, Monday - Friday, 8:00 am - 5:00 pm. An 8-hour shift with a 1-hour lunch break, with varying start times between 5:00 am and midnight. A 5-day workweek, which may include weekend days, with scheduled overtime and holiday work. Career Growth and Development By joining our client's team, you'll have opportunities for career growth and professional development. As a leading managed care company, they offer a dynamic and supportive work environment that encourages learning and advancement. You'll have the chance to develop your skills and expertise, taking on new challenges and responsibilities as you grow in your role. Why Join Our Team? If you're a motivated and skilled Pharmacy Technician looking for a challenging and rewarding career opportunity, we encourage you to apply. As a Remote Prior Authorizations Pharmacy Technician with our client, you'll be part of a talented team that's dedicated to making a positive impact in the healthcare industry. With a competitive salary, comprehensive benefits, and opportunities for career growth, this is an exciting opportunity to take your career to the next level. Take the Next Step Are you ready to join our team and make a difference in the lives of patients and healthcare providers? Apply now and let's discuss how you can become a vital part of our success story. Apply for this job
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