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You will be updated with latest job alerts via emailOverview:
Tek Wissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.
Title: Prior Authorization Specialist
Work Location: Lansing, MI 48901
Duration: 2 Months
Job Type: Contract
Work Type: Remote
Job Description
Department: SHS Stars & Consumer Ex
Engagement Description:
This position requires the ability to multitask within a high-volume concierge contact center setting.
Top 3 Required Skills/Experience
Ability to process Coverage Determination Requests within CMS Timeframes
Ability to communicate all pharmacy benefits both verbally and written
Ability to have strong attention to detail while multitasking within a high demand environment
Required Skills/Experience The rest of the required skills/experience. Include:
Minimum 2 years of experience in Pharmacy Retail, PBM, Hospital, Managed Care
Experience with Microsoft Programs (Outlook, Excel, Word, Access)
Knowledge of prescription drug names, therapeutic classes and claims processing
Knowledge of Privacy Regulations
Pharmacy Technician Certification (PTCB) preferred
Preferred Skills/Experience Optional but preferred skills/experience. Include:
Medicare Part D Experience
Contact Center Experience
Knowledge of CMS/NCQA regulations
Knowledge of pharmacy claims processing
Education/Certifications Include:
High School Diploma
2 years of college preferred
TekWissen Group is an equal opportunity/affirmative action Employer (m/f/d/v) supporting workforce diversity.
Full Time