Job Description

We're Hiring: Prior Authorization Specialist!

We are seeking a detail-oriented and reliable Pharmacy Technician to join our healthcare team.

Location: Saginaw, MI
Work Mode: On-site
Role: PA Specialist

Job Description:

PA Specialist in Pt B Pharmacy will support clients and providers (physicians and other healthcare providers rendering medical care) with Medicare Part B drug coverage inquiries and prior authorizations.

Required Skills/Experience:

2-4 years Specialty and/or Retail Pharmacy
Experience in provider/member call center or helpdesk
Process prior authorization requests
Knowledge of specialty prescription drug names, NDC drug codes, therapeutic classes and claims processing preferred
Call Center or Helpdesk experience. Ability to communicate effectively with providers and members.
Analyzing written, faxed, and verbal inquiries which may lead to entry of medical authorizations into the online provider facing webtool.

Preferred Skills/Experience:

Prior Authorization on Pt B specialty medications
Knowledge or pricing NOC drugs
Familiarity with Medicare Guidelines and Timeframes
Knowledge of pharmacy and/or medical claims processing
Proficient in Microsoft Office Product

Education/Certifications:

High School Graduate of GED equivalent required. Two (2) years of college preferred.
Pharmacy Technician Certification (PTCB) preferred

Job Tags

Permanent employment, Work at office, Night shift,

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