Job Description

Contract- 06 months contract with higher extension possibilities Training: 08:00 AM - 04:30 PM CST M-F (no time off permitted during training) Schedule Times: This position follows a standard 8.5-hour workday The permanent schedule will be determined based on business needs after training is completed . Position Summary 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 judgment calls to the pharmacist team. The Tech I will also assist with other duties as needed, including but not limited to: Outbound calls Reviewing and processing Prior Authorizations received via fax and ePA Monitoring and responding to inquiries via department mailboxes Other duties as assigned by the leadership team Key Responsibilities / Duties Take incoming calls from members, providers, pharmacies, etc. Provide professional and courteous phone assistance to all callers. Support the criteria-based prior authorization process. Maintain complete, timely, and accurate documentation of: Reviews, Approvals and Denials. Transfer all clinical questions and judgment calls to the pharmacist. Assist with outbound calls as needed. Review and process Prior Authorizations received via fax and ePA. Monitor and respond to department mailboxes. Perform additional duties as assigned by leadership. Experience Requirements Minimum 2 years of experience in a high-volume call center (healthcare or PBM/prior authorization-related preferred). Minimum 1 year of experience as a pharmacy technician coordinating activities in an administrative support function. Minimum 2 years of customer service experience in a high-volume environment; preferably in Healthcare, Social services, or Similar service positions Education Requirements A Verifiable High School Diploma or GED is required. Licenses / Certifications Pharmacy Technician license (active and no restrictions). National pharmacy technician certification or certification/licensure per state regulations.

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