Overview: 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: 12 Months Job Type: Contract Work Type: Remote Dept: Medicare Pharmacy Opera ENGAGEMENT DESCRIPTION: PA Specialist in Pt B Pharmacy will support Client and 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 2-4 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.
Analyzing 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 medications
Knowledge or pricing NOC drugs
Familiarity with Medicare Guidelines and Timeframes
Knowledge of pharmacy and/or medical claims processing
Proficient in Microsoft Office Products
Education/Certifications Include: High School Graduate of GED equivalent required. Two (2) years of college preferred.
Pharmacy Technician Certification (PTCB) preferred
Work Environment This position is fully remote.
There may be some occasional requirement to work in Client locations, if internet or system issues prevent candidate from working in their remote location.
This position is with a Pharmacy Helpdesk with incoming and outgoing calls from both members and providers and therefore candidate should have a designated workspace that is free from noise and disruptions.
Additionally, workspace would have to be conducive to protecting PHI.
TekWissen Group is an equal opportunity employer supporting workforce diversity.
