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.
Education:
- Verifiable High School diploma or GED is required.
Certification and Licenses:
- National pharmacy technician certification.
- Eligible for state registration, certification or licensure per state regulations.
Experience:
- Minimum (1) year experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position.
- Advanced computer skills including word processing and spreadsheet utilization.
- Excellent customer service skills (written and verbal) a must.