Pharmacy Tech - Prior Authorizations

Randstad USA; United States; À distance; USD 29 000 - 30 000; Plein temps

Résumé du poste

Randstad USA is seeking a candidate for a remote contract role in healthcare call center operations. The position handles incoming calls from members and providers, offering professional phone assistance through the prior authorization process.

Training lasts six weeks with shifts Monday–Friday, 8:00 AM–4:30 PM CT, and potential weekend requirements. HS diploma required; contract length is 11 months; Randstad provides comprehensive benefits after eligibility.

Qualifications

• High-volume healthcare call center experience.
• Documentation of approvals and denials.
• Transferring clinical questions to the pharmacist.

Responsabilités

• Handle incoming calls in a high-volume healthcare setting and provide professional assistance.
• Document all approvals/denials accurately and timely.
• Transfer clinical questions to the pharmacist for escalation.

Connaissances

MS Office Suite

Customer service

Communication skills

Formation

High School Diploma

Description du poste

Job Summary

This position takes in-coming calls from members, providers, etc. providing professional phone assistance to all callers through the criteria based prior authorization process.

Location: Remote

Job Type: Contract

Salary: $21 - $21.44 per hour

Work Hours: Expected shifts to be 8 hours per day, Monday through Friday between 8am CST and 12am CST, with potential weekend requirements. The work schedule will be determined after training is completed; the employee will not have a choice of shift. 6 weeks of training M-F - 8:00 AM - 4:30 PM CT

Education: High School Diploma

Responsibilities

• High-Volume Healthcare Call Center. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.

Qualifications

• Healthcare inbound call center: 1 year
• Healthcare, insurance, PBM, pharmacy, medical office: 1 year

Skills

• Candidate should be comfortable utilizing the full MS Office Suite (MS TEAMS, Outlook are REQUIRED and Word and Excel is helpful)
• Excellent customer service skills (written and verbal) a must.

Additional Comments

Contract for 11 months

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [e-mail].

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.