TekWissen 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: Pharmacy Technician
Work Location: Southfield MI 48075
Duration: 6 Months
Job Type: Contract
Work Type: Remote
Dept: Medicare Pharmacy Opera
Job Description:
The pharmacy technician will assist in providing pharmacy services.
Other related skills may be required to perform this job.
Qualifications:
High school diploma or GED. One year pharmacy experience working under a license pharmacist or completion of certified pharmacy technical program.
Working knowledge of third party claims process.
This position is temporary only for duration of start and end date.
Engagement Description
PA Specialist in Pt B Pharmacy will support client providers (physicians and other healthcare providers rendering medical care) with Medicare Part B drug coverage inquiries and prior authorizations.
Top 3 Required Skills/Experience
24 years Specialty and/or Retail Pharmacy
Experience in provider/member call center or helpdesk
Process prior authorization requests
Required Skills/Experience The rest of the required skills/experience. Include:
Knowledge of specialty prescription drug names NDC drug codes therapeutic classes and claims processing preferred
Call Center or Helpdesk experience. Ability to communicate effectively with providers and members.
Analysing written faxed and verbal inquiries which may lead to entry of medical authorizations into the online provider facing webtool.
Preferred Skills/Experience Optional but preferred skills/experience. Include:
Prior Authorization on Pt B specialty medication
Knowledge or pricing NOC drugs
Familiarity with Medicare Guidelines and Timeframes
Knowledge of pharmacy and/or medical claims processing
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