Prior Authorization Specialist/ Precertification SpecialistTap Growth ai • saginaw, Michigan, US
Prior Authorization Specialist / Precertification Specialist
Tap Growth ai • saginaw, Michigan, US
5 days ago
Job type
- Full-time
Job descriptionPrior 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 High School Graduate of GED equivalent required. Two (2) years of college preferred. Pharmacy Technician Certification (PTCB) preferred
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 :
Education / Certifications :
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Prior Authorization Specialist • saginaw, Michigan, US