Certified Remote Pharmacy Technician - Prior Authorization Specialist - Healthcare Insurance Industry - Competitive Salary & Comprehensive Benefits
Join the Actalent Team as a Remote Certified Pharmacy Technician
Are you a detail-oriented and organized individual with a passion for healthcare? Do you have a strong desire to work in a dynamic and supportive remote environment? Look no further! Actalent, a global leader in engineering and sciences services and talent solutions, is seeking a certified pharmacy technician to join our team as a Prior Authorization Specialist. As a Remote Certified Pharmacy Technician, you will play a critical role in reviewing prior authorizations for determination, working with a large healthcare insurance company.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation, and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia, and Europe, Actalent serves many of the Fortune 500. Our company culture is built on the principles of diversity, equity, and inclusion, and we strive to create a work environment that is engaging, supportive, and rewarding for all employees.
Job Summary
We are seeking a highly organized and detail-oriented Certified Pharmacy Technician to join our team as a Prior Authorization Specialist. As a Remote Certified Pharmacy Technician, you will be responsible for reviewing prior authorizations for determination, approving or denying authorizations, and sending them to a pharmacist for final review. You will work with multiple health plans and various types of medications, utilizing your strong computer skills to enter member demographics and prescription information into our data processing system.
Key Responsibilities
- Review prior authorizations for determination, approving or denying authorizations based on established guidelines and protocols.
- Enter member demographics and prescription information into our data processing system, ensuring accuracy and attention to detail.
- Research and resolve rejected insurance billing issues, escalating questions and concerns to a pharmacist as needed.
- Assist with inbound and/or outbound patient or physician calls, providing exceptional customer service and support.
- Process prescription exceptions, resolving claim rejects, and conducting member and physician outreach as required.
- Collaborate with pharmacists and other healthcare professionals to ensure seamless communication and coordination of care.
Requirements
- Must be a nationally certified pharmacy technician (e.g., PTCB, NHA).
- Registered pharmacy technician in the state where you reside.
- High school diploma or equivalent required.
- Strong computer skills, with experience working with electronic health records and data processing systems.
- Excellent communication and customer service skills, with the ability to work effectively with patients, physicians, and other healthcare professionals.
- Ability to work in a fast-paced, dynamic environment, prioritizing tasks and managing multiple responsibilities.
Preferred Qualifications
- Previous experience working in a pharmacy or healthcare setting, preferably in a prior authorization or claims processing role.
- Familiarity with healthcare insurance industry, including knowledge of health plans and medication management.
- Experience working in a remote environment, with a strong understanding of remote work best practices and requirements.
Skills and Competencies
- Attention to detail and organizational skills, with the ability to prioritize tasks and manage multiple responsibilities.
- Excellent communication and customer service skills, with the ability to work effectively with patients, physicians, and other healthcare professionals.
- Strong analytical and problem-solving skills, with the ability to research and resolve complex issues.
- Ability to work independently in a remote environment, with minimal supervision and guidance.
- Strong technical skills, including experience working with electronic health records and data processing systems.
Career Growth Opportunities and Learning Benefits
At Actalent, we are committed to the growth and development of our employees. As a Remote Certified Pharmacy Technician, you will have access to comprehensive training and support, including:
- Initial training program to ensure a smooth transition into the role.
- Ongoing support and guidance from experienced professionals.
- Opportunities for professional growth and development, including career advancement and continuing education.
Work Environment and Company Culture
As a Remote Certified Pharmacy Technician, you will work in a professional and supportive remote environment, with a strong emphasis on work-life balance and employee well-being. Our company culture is built on the principles of diversity, equity, and inclusion, and we strive to create a work environment that is engaging, supportive, and rewarding for all employees.
- Work from home or a designated remote workspace, with flexible scheduling and autonomy.
- Collaborate with a team of experienced professionals, including pharmacists and other healthcare experts.
- Access to comprehensive benefits, including medical, dental, and vision coverage.
- Competitive salary and bonuses, with opportunities for professional growth and advancement.
Compensation and Benefits
We offer a comprehensive compensation package, including:
- Competitive salary, with opportunities for bonuses and professional growth.
- Comprehensive benefits, including medical, dental, and vision coverage.
- Access to employee assistance programs, including mental health and wellness support.
- Opportunities for professional development and continuing education.
Conclusion
If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity as a Remote Certified Pharmacy Technician. As a member of our team, you will play a critical role in delivering high-quality patient care and support, while enjoying a rewarding and challenging career in a dynamic and supportive remote environment. Apply now and take the first step towards a fulfilling career with Actalent!
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