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Pharmacy Technician Call Center - Remote

Company: Gainwell
Location: Irving
Posted on: November 25, 2022

Job Description:

Gainwell Technologies LLC

Summary The Pharmacy Technician for the PBM clinical and technical call center is expected to be a subject matter expert in areas of pharmacy knowledge as well as call center operations. Duties will include, but are not limited to, answering incoming calls and making outgoing calls for members, medical providers, or pharmacy providers, appropriate processing of prior authorization requests, and assisting members and providers with inquiries through other media platforms as needed (fax, web, e-mail) Your role in our mission

  • Remain compliant with all PHI protocols and requirements including the handling of company confidential data according to policy and guidelines. Adheres to existing security policies and procedures.
  • Process submitted prior authorization requests within the required time frame mandated by the State client
  • Completion of approval process for prior authorizations where all criteria is met and clinical judgement of a pharmacist is not required
  • Complete necessary communication with providers regarding status of their authorization submission or any other inquiries
  • Follow standard operating procedures to receive incoming calls and use learned knowledge and resources to resolve the call on initial contact What we're looking for
    • Active pharmacy technician registration with a Board of Pharmacy or certified pharmacy technician from accredited program (PTCB, ExCPT, etc.) or must obtain certification within 12 months
    • 2 years of relevant experience as a pharmacy technician in retail pharmacy, hospital pharmacy, managed care, insurance, or pharmacy benefit management What you should expect in this role Work-from-home

Keywords: Gainwell, Irving , Pharmacy Technician Call Center - Remote, Healthcare , Irving, Texas

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