OpTech is a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work at OpTech, not only do you get health and dental benefits on the first day of employment, but you also have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! To view our complete list of openings, please visit our website at www.optechus.com.
We have a top client in the health insurance industry seeking motivated employees to work as a Pharmacy Technician in a 100% remote environment!!
Must be able to work a flexible schedule between the hours of Monday-Friday 7AM-6PM EST.
Job Description:
- PA Specialist in Part B Pharmacy will support our client's providers (physicians and other healthcare providers rendering medical care) with Medicare Part B drug coverage inquiries, and prior authorizations
- Assist with incoming and outgoing calls from both members and providers
- Will assist in providing pharmacy services.
- Other related skills may be required to perform this job.
Job Requirements:
- Minimum of 2-4 years Specialty and/or Retail Pharmacy experience
- Minimum of 1 year of call/contact center experience
- Minimum of 1 year of customer service experience
- Working knowledge of third party claims process
- Prior experience with processing prior authorization requests
- Knowledgeable with Medicare Part B
- Experienced working with Medicare recipients
- Knowledge of specialty prescription drug names, NDC drug codes, therapeutic classes and claims processing preferred
- Experience analyzing written, faxed, and verbal inquiries which may lead to entry of medical authorizations into the online provider facing webtool
Preferred Skills/Experience:
- 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:
- High School Graduate of GED equivalent required
- Two (2) years of college preferred
- Pharmacy Technician Certification (PTCB) preferred
OpTech is an equal opportunity employer and is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, status as a parent, disability, age, veteran status, or other characteristics as defined by federal, state or local laws.