**Experienced REMOTE Pharmacy Technician/Prior Authorization Specialist – PTCB Required with Strong Communication and Analytical Skills**

About the Opportunity

We are seeking a highly skilled and motivated REMOTE Pharmacy Technician/Prior Authorization Specialist to join our team. As a REMOTE Pharmacy Technician/Prior Authorization Specialist, you will play a critical role in processing prior authorization and drug benefit exception requests for a major healthcare company. This is an exciting opportunity to work with a dynamic team and contribute to the success of our organization.

About the Company

A-Line Staffing is a leading provider of staffing solutions for the healthcare industry. We are committed to delivering exceptional service and support to our clients and candidates. Our team is dedicated to helping healthcare professionals find fulfilling and challenging career opportunities.

About the Role

The REMOTE Pharmacy Technician/Prior Authorization Specialist will work closely with providers to process prior authorization and drug benefit exception requests in accordance with Medicare Part D CMS Regulations. This role requires strong analytical and communication skills, as well as the ability to work in a fast-paced and dynamic environment.

Key Responsibilities:

• Process prior authorization and drug benefit exception requests in accordance with Medicare Part D CMS Regulations
• Research and conduct outreach via phone to requesting providers to obtain additional information to process coverage requests
• Responsible for research and correction of any issues found in the overall process
• Phone assistance is required to initiate and/or resolve coverage requests
• Escalate issues to Coverage Determinations and Appeals clinical pharmacists and management team as needed
• Maintain compliance at all times with CMS and department standards
• Work in a high-pressure, time-sensitive environment and adapt to change and remain flexible
• Project a professional business image through phone interaction and internal communications

Requirements:

To be successful in this role, you will need to have the following qualifications and skills:

Essential Qualifications:

• PTCB certification
• State license to practice as a pharmacy technician
• Strong attention to detail
• Excellent verbal and written communication and interpersonal skills
• Ability to maintain patient confidentiality
• Proficient computer skills and the ability to navigate in a Windows-based environment
• Ability to follow directions and adapt in a dynamic work environment
• Ability to work in a high-pressure, time-sensitive environment
• Project a professional business image through phone interaction and internal communications

Preferred Qualifications:

• Experience working in a pharmacy or healthcare setting
• Knowledge of Medicare Part D CMS Regulations
• Experience with prior authorization and drug benefit exception requests
• Strong organizational skills
• Strong telephone skills
• Ability to read and understand pharmacy/medical terminology
• Ability to read, analyze, and interpret general business correspondence, technical procedures, and governmental regulations
• Ability to identify and solve practical problems and deal with a variety of concrete variables in standardized situations
• Ability to perform basic mathematics calculations
• Ability to interpret a variety of work instructions provided through a variety of mediums
• Ability to anticipate needs and resolve issues with urgency
• Ability to consistently meet quality and production standards
• Displays confidence in the ability to learn complex material
• Demonstrates intellectual curiosity through inquiries to ensure deep understanding of the business and deliver accurate results

What We Offer:

We offer a competitive compensation package, including a salary and benefits. Our team is dedicated to providing a supportive and inclusive work environment, with opportunities for growth and development. We are committed to helping our employees achieve their career goals and providing them with the tools and resources they need to succeed.

Work Environment and Culture:

We are a dynamic and fast-paced organization, with a strong focus on teamwork and collaboration. Our team is dedicated to delivering exceptional service and support to our clients and candidates. We value diversity, equity, and inclusion, and are committed to creating a work environment that is welcoming and inclusive for all employees.

Compensation and Benefits:

We offer a competitive compensation package, including a salary and benefits. Our benefits package includes health, dental, and vision insurance, as well as a 401(k) plan and paid time off. We also offer opportunities for professional development and growth, including training and education programs.

How to Apply:

If you are a motivated and experienced REMOTE Pharmacy Technician/Prior Authorization Specialist looking for a new challenge, please submit your application today. We value a great attitude and a willingness to learn above all, so don't hesitate to apply even if you don't meet every single requirement.

To apply, please visit our website at [insert website URL] or contact Brad Zidek at [email protected] or 412-823-2500. We look forward to hearing from you!

Don't Hesitate, Apply!

Join our team today and take the first step towards a rewarding and challenging career as a REMOTE Pharmacy Technician/Prior Authorization Specialist.

Apply Now