Job Description
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.
- Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
Requirements:
- High-Volume Healthcare Call Center Experience.
- Minimum 1 year of inbound call center experience.
- Healthcare, insurance, PBM, pharmacy, medical office, or similar environment preferred.
- Strong customer service and communication skills.
- Pharmacy Technician Experience / Knowledge.
- Pharmacy Technician experience strongly preferred.
- Active Pharmacy Technician License, Certification, or Trainee License preferred.
- Computer Multitasking & Documentation Skills.
- Ability to navigate multiple systems while handling calls.
- Proficiency with Outlook and MS Teams required.