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UnitedHealth Group
posted 3 months ago
About the position
The Senior Pharm PA/Appeals Technician role at UnitedHealth Group involves providing expertise and customer service support for prior authorization requests related to medications. This remote position requires handling inbound calls from providers and members, processing authorizations, and ensuring compliance with legal and contractual requirements. The technician will work in a fast-paced environment, focusing on patient safety and quality of work while maintaining a high level of customer service.
Responsibilities
- Answer inbound calls for prior authorization requests from providers and members, handling up to 70 calls per day.
- Process authorizations through various computer systems, ensuring data accuracy and compliance with guidelines.
- Review and process prior authorization requests for medications not covered on a member's prescription drug plan.
- Document interactions with callers according to regulatory and contractual requirements.
- Resolve issues and complaints in a timely manner.
- Perform additional duties as assigned by management.
Requirements
- Active National Pharmacy Technician Certification from PTCB, ExCPT, or the National Board of Prior Authorization Specialist.
- 6+ months of customer service experience with healthcare professionals.
- Basic proficiency in Microsoft Excel, Word, and Outlook.
- Ability to work flexible hours, including early mornings, late nights, weekends, and overtime as needed.
- Must reside in the state of Maine.
Nice-to-haves
- Knowledge of call center systems such as IEX.
Benefits
- Paid Time Off (PTO) starting from the first pay period plus 8 Paid Holidays and a Floating Holiday.
- Medical Plan options with Health Spending Account or Health Saving Account participation.
- Dental, Vision, Life & AD&D Insurance, Short-term and Long-term Disability coverage.
- 401(k) Savings Plan and Employee Stock Purchase Plan.
- Education Reimbursement and Employee Discounts.
- Employee Assistance Program and Employee Referral Bonus Program.
- Flexible Work Arrangement and Voluntary Benefits (pet insurance, legal insurance, etc.).
