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.
Minimum (1) year experience required in a customer service position with high volume call center experience; preferably in health-care, social services, or a similar service position.
* At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function. * National pharmacy technician certification. Eligible for state registration, certification or license per state regulations. * Advanced computer skills including word processing and spreadsheet utilization. * Excellent customer service skills (written and verbal) a must.
Timings: Monday through Friday, between 8AM to 6PM. No nights, holidays or weekends.