Pharmacy CSR: Utilization Review & Medication Requests

Wipro; United States; À distance; USD 23 000 - 25 000; Plein temps

Avantages offerts par ce poste

Medical and dental benefits options

Disability insurance

Paid time off

Other paid and unpaid leave options

Résumé du poste

Wipro is seeking a Pharmacy CSR in the United States to handle medication requests primarily by phone, with some written orders. The role requires healthcare experience and familiarity with MO HealthNet criteria to determine outcomes, working closely with pharmacists and physicians.

You will interpret clinical rules, make pre-certification determinations, and maintain high accuracy while managing a high volume of calls. Great communication and multitasking are essential.

Qualifications

• Experience in pharmacy services or healthcare settings.
• Prior customer service experience required.
• Experience working directly with pharmacists and physicians.

Responsabilités

• Process medication requests submitted primarily by phone, with some written requests.
• Apply MO HealthNet criteria using an interactive application to determine review outcomes.
• Interpret and apply clinical rules and decision-making algorithms related to medications under review.
• Make final determinations regarding medication pre-certification based on established guidelines.
• Maintain a high level of accuracy and professionalism while handling a high volume of calls throughout the shift.
• Effectively multitask in a fast-paced environment.

Connaissances

Pharmacy services

Healthcare experience

Customer service

Pharmacists collaboration

Description du poste

Wipro is seeking a Pharmacy CSR in the United States to handle medication requests primarily by phone, with some written orders. The role requires healthcare experience and familiarity with MO HealthNet criteria to determine outcomes, working closely with pharmacists and physicians.

You will interpret clinical rules, make pre-certification determinations, and maintain high accuracy while managing a high volume of calls. Great communication and multitasking are essential.