Prior Auth Pharm Tech/Pharm Tech Trainee

Healthcare Support Staffing; Phoenix (AZ); On-site; USD 40,000 - 50,000; Full time

Job summary

A healthcare staffing company is seeking a pharmacy technician to support prior authorization processes. The role involves providing customer service and expertise to members and providers, handling requests for prior authorizations, and ensuring compliance with regulatory standards. Ideal candidates will have a CPhT certification and experience in customer service. This full-time position is based in Phoenix, Arizona, offering the chance to make a significant impact in a dynamic healthcare environment.

Qualifications

• CPhT certification required.
• Experience in handling customer service requests preferred.
• Knowledge of prior authorization processes beneficial.

Responsibilities

• Provide expertise and customer service support to members and providers.
• Take requests for prior authorizations for medications.
• Conduct clinical review for authorizations while adhering to regulations.

Education

CPhT/ Registered Pharmacy Technician/Pharm Tech Trainee

Job description

• Full-time

Company Description

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.

Job Description

The essential functions of a pharmacy technician in Prior Authorization are providing expertise and customer service support to members, customers, and/or providers. This position exists to take incoming requests for prior authorizations, for formulary and non-formulary medications, while ensuring a high level of customer service and maximizing productivity. Request can be received via fax or telephone, from providers' offices and pharmacists. The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs). The technician must provide the information clearly, accurately and in a professional manner. Interactions with callers must be documented per contractual and various regulatory / legal requirements.

Qualifications

CPhT/ Registered Pharmacy Technician/Pharm Tech Trainee