Remote CPhT Certified PBM Pharmacy Prior Authorization Tech at Managed Care Staffers
Aurora, IL 60507
About the Job
Remote Temp F/T CPhT Certified PBM Pharmacy Prior Authorization Tech
Our client, a busy Taft Hartley Health & Welfare Fund located in Aurora, IL has an immediate staffing need for a remote experienced CPhT Certified Pharmacy Prior Authorization Technician with recent Pharmacy Benefits Management (PBM) experience. Experience with any of the following software PAHub, RxClaim Pro, or Five9 is a plus. Must work in IL, IN, WI, or TX.
We understand that you cannot submit any comments or text with your resume. If you apply through Monster, please send a separate email to emurawski[at]managedcarestaffers.com with the answers to the following questions in order to be considered for this position:
- Are you currently a Certified CPhT Pharmacy Technician?
- How many years have you worked in of PBM environment?
- How many years of Prior Authorization (PA) experience do you currently have?
- Do you have any experience with PAHub, RxClaim Pro, or Five9 Software? If yes, which ones?
- What is your desired minimum hourly compensation?
- Are you immediately available for employment?
- Our client, a busy Taft Hartley Health & Welfare Fund located in Aurora, IL has an immediate staffing need for a remote experienced
The ideal candidate is someone who has at least 2 years of recent pharmaceutical prior-authorization work experience working within a Pharmacy Benefit Management work environment such as CVS/Caremark, OptumRx, and Catamaran. You must have an active Pharmacy Technician License or a valid Pharmacy Technician Certificate (CPhT).
During your 2 weeks of training, you will be working Monday-Friday (9:00am - 5:00pm). After training you will be working flexible hours between the hours of 7:00am to 7:00pm for a total of 7.5 hours per day and a total of 37.5 paid hours per week.
Job Responsibilities
- You will be responsible for handling phone calls and faxes from both members and providers utilizing the Five9 software and a headset and assisting them with obtaining pharmaceutical prior authorizations with complete computer documentation.
- In this position you will be making a high volume of outgoing calls per day.
- Promptly resolving escalated pharmacy benefit issues and customer service calls.
- In this position you will be required to filter and sort files in Excel.
- You must be familiar with resolving third-party and pharmaceutical claim rejections.
Job Requirements
- 2 years of working knowledge and experience as a CPhT Pharmacy Technician working in a Pharmacy Benefit Management (PBM) environment.
- High School Diploma or GED
- Must be a Certified Pharmacy Technician (CPhT).
- 2 years of experience with working knowledge and experience in prior authorization within a pharmacy benefit manager is required.
- 2 years of experience working knowledge and experience with third-party medical/prescription payments or third-party rejections and resolving rejected claims experience.
- Microsoft Office Word, Excel, PowerPoint, and Outlook proficiency.
- Intermediate Excel proficiency in sorting and filtering files is essential.
- Experience with any of the following software PAHub, RxClaim Pro, or Five9 is a plus.
If you or anyone you know is interested, qualified, and immediately available for employment please email an updated resume to us for immediate review and consideration.