US Tech Solutions - Providence, RI

posted 3 months ago

Full-time - Entry Level
Providence, RI
Administrative and Support Services

About the position

The Pharmacy Tech I position at US Tech Solutions involves providing professional and courteous phone assistance to various stakeholders, including providers, pharmacies, and members, through the criteria-based prior authorization process. The role requires the technician to handle inbound calls, ensuring that all interactions are documented accurately and in a timely manner. The technician is responsible for maintaining complete records of reviews and must transfer any clinical questions, escalations, or judgment calls to the pharmacist team for further assistance. This position is crucial in ensuring that the prior authorization process runs smoothly and efficiently, contributing to the overall quality of service provided to clients and patients. In addition to handling inbound calls, the Pharmacy Tech I will assist with various other duties as needed. This includes making outbound calls, reviewing and processing prior authorizations received via fax and electronic prior authorization (ePA), and monitoring and responding to inquiries through department mailboxes. The technician will also be expected to perform other tasks as assigned by the leadership team, demonstrating flexibility and a willingness to support the team in achieving its goals. This role is essential in a high-volume call center environment, where effective communication and organizational skills are paramount to success.

Responsibilities

  • Provide professional and courteous phone assistance to providers, pharmacies, and members through the prior authorization process.
  • Maintain complete, timely, and accurate documentation of reviews.
  • Transfer clinical questions, escalations, and judgment calls to the pharmacist team.
  • Assist with outbound calls as needed.
  • Review and process prior authorizations received via fax and electronic prior authorization (ePA).
  • Monitor and respond to inquiries via department mailboxes.
  • Perform other duties as assigned by the leadership team.

Requirements

  • Minimum of 1 year experience in a customer service position with high volume call center experience, preferably in healthcare or social services.
  • High School diploma or GED is required.
  • Experience with prior authorization processes.
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