[Remote] Certified Pharmacy Technician (Prior Authorizations)

Note: The job is a remote job and is open to candidates in USA. Green Key Resources is actively seeking multiple Nationally Certified Pharm Techs - Prior Authorizations to join their care team. The role involves reviewing prior authorization requests and communicating with members regarding their eligibility and benefits. Responsibilities • Very administrative in nature - will be reviewing prior auth requests from fax, electronic, and inbound calls. • Will review requests and checking them against pre-determined criteria - sending to Pharmacist for review • Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality. • Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction. • Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies. • Assists in the mentoring and training of new staff. • Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal). • Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs. • Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals. • Educates providers on how to submit claims and when/where to submit a treatment plan. • Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved. Skills • Must be a Nationally Certified pharm tech - with 1 year experience. • HS Diploma/GED. • Prior authorizations experience. • Open to inbound/outbound calls. • Candidates should have high-speed internet. Company Overview • Green Key Resources provides career counselling. It was founded in 2004, and is headquartered in New York, New York, USA, with a workforce of 201-500 employees. Its website is http://www.greenkeyllc.com. Company H1B Sponsorship • Green Key Resources has a track record of offering H1B sponsorships, with 1 in 2022, 1 in 2021, 5 in 2020. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job Apply To this Job