Senior Pharmacy Prior Authorization & Appeals Technician - Remote Opportunity
Join Our Team and Make a Difference in Healthcare! We're seeking a highly skilled and dedicated Senior Pharmacy Prior Authorization & Appeals Technician to join our team in a remote capacity. As a key member of our team, you will play a vital role in delivering exceptional customer service and ensuring seamless prior authorization processes for our members and healthcare 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 Optum, 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 healthcare 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 healthcare setting
Basic proficiency in Microsoft Excel, Word, and Outlook
Ability to work flexible hours, including overtime and weekends, between 5:00 AM and 12:00 AM
Nice-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, Vision, 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 our team and make a difference in healthcare. Apply now to take the first step towards a rewarding and challenging career as a Senior Pharmacy Prior Authorization & Appeals Technician.
Apply Now
Apply Now
At Optum, 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 healthcare 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 healthcare setting
Basic proficiency in Microsoft Excel, Word, and Outlook
Ability to work flexible hours, including overtime and weekends, between 5:00 AM and 12:00 AM
Nice-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, Vision, 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 our team and make a difference in healthcare. Apply now to take the first step towards a rewarding and challenging career as a Senior Pharmacy Prior Authorization & Appeals Technician.
Apply Now
Apply Now