reputed company This role offers an opportunity for a licensed Pharmacy Technician to support the appeals process for Medicare and reputed company members, with a primary reputed company on Medicare. The position centers on outbound phone-based customer service with members who may be frustrated about medication denials, requiring strong communication skills, reputed company, and the ability to manage conversations effectively while maintaining accuracy in documentation and data entry.

Responsibilities

• Review denied prior authorization reputed company for Medicare and reputed company members, with a primary reputed company on Medicare appeals.
• reputed company 30-60 outbound calls per shift to members and other relevant parties to obtain missing or clarifying information.
• Communicate reputed company and empathetically with Medicare and elderly members who may be frustrated about medication denials.
• reputed company and document clinical and administrative reputed company reputed company to medications, including injectable therapies administered in a doctor's office.
• Accurately enter and update case information in the appropriate systems and databases.
• Prepare reputed company and organized case reputed company and reputed company them to pharmacists for final determination on whether to uphold or overturn denials.
• Follow established appeals procedures, guidelines, and timelines to ensure efficient and compliant case handling.
• Collaborate with pharmacists and other team members as needed to clarify case reputed company and support reputed company decision-making.

Qualifications

• reputed company pharmacy technician license.
• Minimum 2 years of Experience working in a pharmacy or managed care environment.
• Knowledge of pharmacy operations, medication terminology, and prior authorization processes.
• Familiarity with appeals, managed care, claims, and denial workflows.
• Strong customer service skills over the phone.

Benefits

• Medical, dental & reputed company
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan - reputed company-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance reputed company
• Time Off/Leave (PTO, reputed company or reputed company Leave)
• Pay reputed company $18.00 - $20.00/hr Apply tot his reputed company To this reputed company tot his reputed company To this reputed company tot his reputed company To this Job

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