Senior Pharmacy PA Appeals Technician - Remote in ME

UnitedHealth Group; San Jose (CA); Remote; USD 80,000 - 100,000; Full time

Job summary

Join a forward-thinking organization as a Senior Pharmacy PA Appeals Technician, where your role will directly impact health outcomes. In this dynamic position, you will engage with patients and healthcare professionals, ensuring accurate medication details in a fast-paced environment. With a commitment to diversity and inclusion, this company offers a supportive culture and comprehensive benefits. Embrace the opportunity to make a difference in the communities we serve while advancing your career in a rewarding role that challenges you to excel.

Benefits

Comprehensive Benefits Package

Incentive and Recognition Programs

401k Contribution

Equity Stock Purchase

Qualifications

• Active and unrestricted National Certification (PTCB) required.
• Intermediate proficiency with computer and Windows applications.

Responsibilities

• Enter prior authorization and verify information.
• Contact patients and providers to resolve claims issues.

Skills

Customer Service

Communication Skills

Computer Proficiency

Education

National Certification (PTCB)

Tools

Windows PC Applications

Job description

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Senior Pharmacy PA Appeals Technician - Remote in ME New

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

As a Senior Pharmacy PA Appeals Technician, you'll be responsible for answering incoming calls and completing outbound calls to/from patients, physicians and pharmacists while ensuring a high level of customer service and maximized productivity.

This role is equally challenging and rewarding. You'll need to work within multiple computer systems simultaneously as you respond to questions or provide specific medication details/clinical information. It's a fast paced, high-volume environment where our members are counting on us to deliver these important, sometimes life-saving medications in an accurate and efficient manner.

If you reside in the state of Maine, you will enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

• Enter prior authorization and verify appropriate and accurate information
• Contact patients, pharmacists and doctor's offices to resolve claims issues
• Process prior authorizations (from intake to order completion)
• Resolve provider/customer issues; ensuring accurate information is provided

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Active and unrestricted National Certification (PTCB) or ability to obtain licensure within 180 days of employment
• Intermediate level of proficiency with computer and Windows PC applications including ability to navigate and learn new and complex computer system applications
• Must be 18 years of age or older

Preferred Qualifications:

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

The salary range for this role is $16.88to $33.22per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Groupis a drug - free workplace. Candidates are required to pass a drug test before beginning employment.