Remote Pharmacy Technician - Work from Home Opportunity with Competitive Salary and Benefits in Indiana Medicaid Rx Prior Authorizations

Join Our Team as a Remote Pharmacy Technician and Accelerate Your Career!

CSpring, a woman-owned business based in the Indianapolis metro area and proud Best Place to Work in Indiana, is seeking a highly skilled and dedicated Remote Pharmacy Technician to support our Prior Authorizations team with Indiana Medicaid Rx. As a Remote Pharmacy Technician, you will play a critical role in providing exceptional customer service to Indiana Medicaid members and providers, ensuring seamless pharmacy coverage and claims processing.

About Our Company and the Role

At CSpring, we celebrate diversity, equity, and inclusion, and are committed to being an equal opportunity employer. Our Medicaid Rx Customer Service Center is a dynamic and fast-paced environment where you will have the opportunity to work with a talented team of professionals who are passionate about delivering high-quality service. As a Remote Pharmacy Technician, you will work from the comfort of your own home, utilizing your strong technical skills and pharmacy expertise to drive success in our Prior Authorizations team.

Key Responsibilities

• Prepare, review, and approve/deny requests for prescription prior authorization and/or appeal, ensuring accuracy and efficiency.
• Scan, index, and prepare documents related to prior authorization and/or appeal requests, verifying and updating patient/member profile information as needed.
• Compile medical notes from patients/providers in support of requests, review requests against decision trees and approval protocols, and perform outreach for additional information as necessary.
• Update approved requests in claims systems and inform patients/providers of approval, ensuring timely and effective communication.
• Forward applicable requests through additional review paths as needed, demonstrating a thorough understanding of our processes and procedures.
• Ensure Rx denial is communicated to patients/providers along with rationale, providing clear and compassionate explanations.

Essential Qualifications

To succeed in this role, you will need:

• A High school diploma or equivalent.
• 1-2 years of prior pharmacy experience (retail, LTC, hospital, etc.), providing a solid foundation in pharmacy operations and customer service.
• A valid Indiana Pharmacy Technician license, demonstrating your commitment to the profession and adherence to state regulations.
• Valid national CPhT certification, or the ability to obtain within six months of hire, showcasing your expertise and dedication to the field.
• Proficiency with computers, software systems, data entry, and Microsoft Office suite, enabling you to efficiently manage multiple tasks and priorities.
• Strong time management skills, including the ability to organize and manage multiple priorities in a fast-paced environment.
• A customer-oriented mindset, with excellent interpersonal and communication skills, ensuring effective collaboration with patients, providers, and team members.
• A self-motivated attitude, with a strong work ethic and commitment to completing tasks on time.
• A positive attitude and dedication to our company values: Committed, Collaborative, Consultative, Caring.
• The ability to pass E-Verify, a criminal background screen, and a pre-employment drug screen, ensuring a safe and secure work environment.
• The flexibility to work overtime as needed to support department goals, demonstrating your commitment to our team's success.

Preferred Qualifications

While not required, the following qualifications are highly desirable:

• Prior experience working with Medicaid and/or government healthcare, providing a deeper understanding of the complexities and nuances of these systems.
• Experience working in a remote setting, demonstrating your ability to work independently and effectively in a virtual environment.
• Call center experience, showcasing your ability to manage multiple calls and priorities while maintaining a high level of customer satisfaction.
• Inbound/outbound call experience in any pharmacy setting, highlighting your expertise in handling customer inquiries and concerns.

What We Offer

At CSpring, we offer a competitive salary of $16.00 per hour, along with a comprehensive benefits package, including:

• Full benefits on day one, providing you with peace of mind and financial security.
• Paid holidays, allowing you to recharge and spend time with loved ones.
• PTO on day one, giving you the flexibility to take time off when you need it.

Career Growth Opportunities and Learning Benefits

As a Remote Pharmacy Technician at CSpring, you will have the opportunity to develop your skills and expertise in a dynamic and supportive environment. Our team is committed to ongoing learning and professional development, ensuring that you stay up-to-date with the latest industry trends and best practices.

Work Environment and Company Culture

At CSpring, we pride ourselves on our vibrant and inclusive company culture. As a remote worker, you will be part of a talented and dedicated team that is passionate about delivering exceptional customer service. We value diversity, equity, and inclusion, and are committed to creating a work environment that is welcoming and supportive for all employees.

Join Our Team!

If you are a motivated and detail-oriented individual with a passion for delivering exceptional customer service, we encourage you to apply for this exciting opportunity. Don't worry if you don't meet every single requirement – we value a great attitude and a willingness to learn above all. Submit your application today and take the first step towards accelerating your career as a Remote Pharmacy Technician with CSpring!

Please note that this position is only open to Indiana residents.