Remote Pharmacy Technician

Job Type

Full-time...

Description

CSpring is actively searching for a REMOTE Pharmacy Technician to support our Prior Authorizations team with Indiana Medicaid Rx. This position starts at $16.00 per hour with full benefits, paid holidays, and PTO on day one.

CSpring is a woman-owned business based in the Indianapolis metro area. We are proud to be a Best Place to Work in Indiana! CSpring celebrates diversity, equity, and inclusion, and is an equal opportunity employer.
?? *Please note that this position is only open to Indiana residents.**

Our Medicaid Rx Customer Service Center provides advanced inbound customer service for all Indiana Medicaid members and providers who have questions regarding pharmacy coverage and claims processing. As a Pharmacy Technician, you will utilize multi-line phones to respond to inquiries concerning in-network pharmacy locations, general coverage inquiries, and medication pricing.

Responsibilities: ?? Prep, review, and approve/deny requests for prescription prior authorization and/or appeal ?? Scan, index and prepare documents related to prior authorization and/or appeal request, verifying and updating patient/member profile information ?? Compile medical notes (disease state, drug treatment history and current drug plan) from patient/provider in support of the request, review request against decision tree and approval protocol, and perform outreach for additional information as needed to support the request ?? Update approved requests in claims systems and inform patient/provider of approval ?? Forward applicable requests through additional review path as needed ?? Ensures Rx denial is communicated to patient/provider along with rationale

Requirements
?? High school diploma
?? 1-2 years of prior pharmacy experience (retail, LTC, hospital, etc.)
?? Valid Indiana Pharmacy Technician license
?? Valid national CPhT certification, or the ability to obtain within six months of hire
?? Proficiency with computers, software systems, data entry, and Microsoft Office suite
?? Strong time management, including the ability to organize and manage multiple priorities
?? Strong customer-orientation
?? Self-motivated to complete tasks on time
?? Positive attitude
?? Excellent interpersonal and communication skills
?? Dedication to company values: Committed, Collaborative, Consultative, Caring
?? Ability to pass E-Verify, a criminal background screen, and a pre-employment drug screen
?? Ability to work overtime as needed to support department goals

Preferred Qualifications
?? Prior experience working with Medicaid and/or with government healthcare
?? Prior experience working in remote setting
?? Call center experience
?? Inbound/outbound call experience in any pharmacy setting

Salary Description

$16.00/hr

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