Job Description:

Location: Irvine, CA

Salary: $22.00 USD Hourly - $23.00 USD Hourly

Description: Our client is currently seeking Prior Authorization Pharmacy Technicians!


Onsite in Irvine, CA
Contract (Until 5/31/24)


Training is 8am-5pm. Monday- Friday. After training, schedule can range between 9am-9pm, 5 days a week.


Overview:
Pharmacy technicians in Prior Authorization provide expertise and customer service support to members, customers, and/or providers. Will take incoming requests for prior authorizations, for formulary and non-formulary medications, while ensuring a high level of customer service and maximizing productivity. Request can be received via fax or telephone, from providers' offices and pharmacists. The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs). The technician must provide the information clearly, accurately and in a professional manner. Interactions with callers must be documented per contractual and various regulatory / legal requirements.


Responsibilities:

• Receive and process prior authorization requests made by providers and members for medications not inherently covered on a member's prescription drug plan.
  
  


• Handle inbound phone requests and gathers member data to provide information for Pharmacist consultations.
  
  


• Perform other duties as assigned by management.
  
  


• Resolve issues and complaints in a timely manner.
  
  


• Answer prior authorization inquiry calls or/and faxes as well as research and resolve formulary and benefit issues using the appropriate reference material.
  
  

Qualifications & Requirements:

• High School Diploma or GED is required
  
  


• Associates degree or 3-5 years of equivalent work experience is preferred


• 1 - 3 years of previous experience as a Pharmacy Technician is preferred


• 1 year of customer service experience analyzing and solving customer problems, OR 1 year of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties is preferred.


• 1 to 3 years of PC skills (MS Word, Excel) proficiency is preferred

Contact: vsantis@judge.com


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