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Remote Pharmacy Technician

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Actalent

8d ago

  • Job
    Full-time
    Entry Level
  • Customer Relations
    Healthcare
  • Knoxville
    Remote

AI generated summary

  • You must have a Pharmacy Technician License, strong computer skills, and proficiency in Microsoft Office.
  • You will review rejected Prior Authorizations, data entry, call doctors/members for info, log into systems, manage fax queues, and intake appeals or reimbursement requests.

Requirements

  • Pharmacy Technician License
  • Computer skills
  • Microsoft Office

Responsibilities

  • Hiring Technicians for Appeals department! This is not traditional CDPA Review - this is Medical Authorizations, a lot of injectables done at the doctor's office. Not traditional prescription authorizations. Mostly a data entry position, some outbound phone work to call doctors or members. You will be reviewing rejected Prior Authorizations that have gone to appeal. This is Technicians Review, where you will review the cases that were rejected. You may call doctor's offices and members to gather more information. You may get some inbound calls from those doctor's offices and members if they call back. You will log into the CPS Compass and UMV systems, as well as the Express Scripts platform. You will access the department’s inbound fax queue, select the earliest available fax, and build/intake the appeal or reimbursement request from the information provided on the fax into the member account in the Compass system and/or review Pharmacy Appeals or Reimbursement cases and review against plan criteria. You will also be required to make outreach to provider’s offices and members to obtain additional information needed to review cases.

FAQs

Do we support remote work?

Yes, this position is fully remote.

What type of Pharmacy Technician License is required for this job?

A valid Pharmacy Technician License is required for this job.

What are the primary responsibilities of this Pharmacy Technician role?

The primary responsibilities include reviewing rejected Prior Authorizations, data entry, making outbound calls to gather information, and logging into various systems to process appeals.

What is the training duration for this position?

The training duration is 4 weeks.

What are the typical working hours for this position?

The typical working hours are Monday to Friday from 10 am to 6:30 pm in the employee's time zone.

Will there be weekend work involved in this role?

Yes, weekend rotations will be required approximately every 4-6 weeks.

Is this a full-time or part-time position?

This is a full-time position, specifically a Contract-to-Hire role.

Are there any specific computer skills required for this job?

Yes, proficiency in Microsoft Office and general computer skills are required.

What kind of environment is needed to work in this role?

A quiet and closed-door setting with strong Wi-Fi is required for optimal work performance.

Does Actalent provide support for diversity and inclusion?

Yes, Actalent is committed to diversity, equity, and inclusion and actively works to maintain an inclusive environment.

Actalent

An Engineering and Sciences Services Company | People to Possible

Human Resources
Industry
5001-10,000
Employees

Mission & Purpose

Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We’re supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent’s global footprint and flexible delivery models ensure access to specialized talent where and when you need it. We promote consultant engagement through professional development and provide experiences to ensure continuous learning. Our people are the difference. Our expertise spans capabilities in engineering including product and manufacturing, systems and software, construction management, environmental, architecture and civil; and power and utilities. We focus on sciences capabilities in laboratory sciences, healthcare, and clinical research. Actalent is an operating company of Allegis Group, the global leader in talent solutions.