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Job Runner

 
  • Category: Healthcare
  • Education: H/S diploma or equilivent
  • Employment Length: fulltime
  • Location: Nashville TN
  • Source: Business
  • Ad #: 15514
 
Via: kellyjobsmnetwork Apply / More Info
 
Full Details

Pharmacy Technician – Nashville TN

Contract Opportunity – Managed Care Insurance Provider environment

Please let me know if you are interested and available by letting me know:

  • Shifts and weekends you are able to work (the more flexible the better). Business operations are 8am to 8pm Monday thru Sunday

Licensed or certified, or have your trainee certificate – all qualify

  • New classes starting in December 26, 2017, a gift for yourself!

Duties:

  • Processes coverage determination requests received by mail, fax, electronic portal or telephone.
  • Works in various queues to ensure proper handling of all processes related to coverage determination requests.
  • Works with time sensitive material and must adhere to mandates turnaround times on all work. Responds to inquiries from customers for information and assistance related to coverage determinations.
  • Performs research to respond to inquiries and interprets policy provisions to determine most effective response.
  • Makes outbound notification calls to members and/or their appointed representatives regarding status of requests.

Skills:

  • Excellent interpersonal skills, ability to understand and interpret policy provisions. Excellent verbal and written communication skills with strong customer service/people skills.
  • Excellent telephone and PC/data entry skills
  • General knowledge of formulary process, and branded versus generic drugs required.
  • Ability to handle high volume of calls and to multi-task, i.e. data entry with speed and accuracy while managing calls.
  • Analytical skills with ability to handle and resolve escalated issues. Strong decision making skills to appropriately serve the customer.
  • Must be able to sit for the majority of shift and be comfortable working in a call center environment.
  • All work is subject to review and follow up for errors and coaching by management staff/agency.
  • Experience within role, at least 1 year
  • Experience with creating and processing prior authorization, making outbound calls a to verify information is a plus, as well as experience answering inbound calls

Education:

  • High School Diploma or GED required, some college/college degree preferred. 1+ years of Call Center experience and retail pharmacy experience preferred.
  • Certification not required but is great to have, willing to take candidates who have their trainee certificate*
  • Certifications & Licenses
  • Pharmacy Technician Certification preferred, not required.

 
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