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Managed Staffing, Inc. seeks a Tech I Prior Authorization specialist to handle in-bound calls from providers, pharmacies and members, delivering professional and courteous assistance through the criteria-based prior authorization process.
The role requires accurate, timely documentation of reviews to support clinical decisions. The Tech I will also assist with outbound calls, reviewing and processing Prior Auths via fax and ePA, and monitoring inquiries via department mailboxes.
The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team.
The Tech I will also assist with other duties as needed to include but not limited to: outbound calls, reviewing and processing Prior Auth’s received via fax and ePA, monitoring and responding to inquiries via department mailboxes and other duties as assigned by the leadership team.