Senior Pharm PA/Appeals Technician - Remote in Maine, Vermont, Wyoming, & Iowa

About the position Responsibilities • Answer prior authorization inbound calls from providers/members (up to 50 to 70 calls per day) and research and resolve formulary and benefit issues. • Process authorizations through various computer systems and ensure the accuracy of all data, updating as necessary. • Receive and process prior authorization requests made by providers and members for medications not inherently covered on a member's prescription drug plan. • Ensure patient safety and quality of work, maintaining a safe and secure workspace. • Resolve issues and complaints in a timely manner. • Perform other duties as assigned by management. • Gather member data to provide information for pharmacist consultations. Requirements • Active National or State Board Pharmacy Technician Licensure. • Pharmacy Technicians Certification Board (PTCB) certification. • State Board of Pharmacy Licensure in state of residence. • ExCPT - Pharmacy Technician Certification with National Healthcareer Association (NHA). • The National Board of Prior Authorization Specialist certification. • 6+ months of customer service/customer relations experience with healthcare professionals. • Basic proficiency with Microsoft Excel, Word, and Outlook. Nice-to-haves • Knowledge of call center systems such as IEX. Benefits • Paid Time Off which accrues with the first pay period plus 8 Paid Holidays + Floating Holiday. • Medical Plan options along with participation in a Health Spending Account or a Health Saving account. • Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage. • 401(k) Savings Plan, Employee Stock Purchase Plan. • Education Reimbursement. • Employee Discounts. • Employee Assistance Program. • Employee Referral Bonus Program. • Flexible Work Arrangement. • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.). Apply tot his job Apply To this Job