Pharmacy Technician - Prior Authorization - Work From Home Arizona
Core
Processes prior authorization requests via phone, fax, and electronic channels to support clinical reviews and ensure NCQA compliance.
Role type
Pharmacy Technician (Prior Authorization)
Builds
Prior authorization approvals and denials for pharmacy benefit plans
Domain
Healthcare / Pharmacy Benefit Management
Deliverable
client delivery
Required skills
Drug name and diagnosis pronunciation, medical terminology, multi-system navigation, documentation, NCQA compliance knowledge
Preferred skills
Retail or Hospital pharmacy experience, Managed Care or Medicaid experience, AS400 experience, Microsoft Office proficiency, clinical information reading
Technologies
AS400, Microsoft Excel, Microsoft Word, Microsoft Outlook, multiple computer resources
Responsibilities
Process prior authorization requests, complete expiring approvals/denials, review denial language for NCQA compliance, answer high-volume inquiry calls, maintain accurate documentation, participate in training and meetings
Seniority
Individual Contributor, 1-5+ years experience