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Remote Pharmacy Technician

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Actalent

11d ago

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

AI generated summary

  • You must have a Pharmacy Technician License, computer skills, and proficiency in Microsoft Office.
  • You will review rejected Prior Authorizations, enter data, make outbound calls to doctors and members, and access systems to intake appeals and gather necessary information.

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

What is the job title for this position?

The job title for this position is Pharmacy Technician.

What department will I be working in?

You will be working in the Appeals department, specifically focusing on Medical Authorizations.

Is this a traditional pharmacy technician role?

No, this is not a traditional pharmacy technician role; it involves reviewing rejected Prior Authorizations and handling appeals, focusing mainly on injectables done at the doctor’s office.

What are the key responsibilities of this position?

Key responsibilities include reviewing rejected prior authorizations, data entry, making outbound phone calls to gather information, and logging into various systems to process appeals or reimbursement requests.

What skills are required for this job?

Required skills include having a Pharmacy Technician License, strong computer skills, and proficiency in Microsoft Office.

What type of employment is this position?

This is a Contract-to-Hire position with a duration of 6 months.

Is this position remote?

Yes, this is a fully remote position.

What are the working hours for this position?

The working hours are Monday to Friday, 8 am to 8 pm in your time zone, with a likely shift of 10 am to 6:30 pm after training. There will be weekend rotations every 4-6 weeks and potential holiday work, although not during this holiday season.

How long is the training period?

The training period lasts for 4 weeks, during which hours are from Monday to Friday, 10 am to 6:30 pm EST.

How does Actalent approach diversity, equity, and inclusion?

Actalent emphasizes diversity and inclusion through hiring diverse talent, maintaining an inclusive environment, building a culture of care, engagement, and recognition, and ensuring growth opportunities for all employees.

What should I do if I need a reasonable accommodation during the application or interviewing process?

If you need a reasonable accommodation, you can email actalentaccommodation@actalentservices.com for options.

Is there a need for weekend work?

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

Will I be handling inbound calls?

Yes, you may receive inbound calls from doctor's offices and members if they call back regarding their cases.

What systems will I be expected to work with?

You will need to log into the CPS Compass, UMV systems, and the Express Scripts platform.

What is the main focus of the case reviews?

The main focus is to review the cases that were rejected and to gather additional information needed for reviewing the appeals.

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.