Title: Pharmacy Technician
Work Location: Detroit, MI, 48243
Duration: 6 Months
Job Type: Contract
Work Type: Remote
Dept: Medicare Pharmacy Operations
Pay rate: $23-23/hr.
Overview:
TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.
Job Description:
- PA Specialist in Pt B Pharmacy will support the client and BCNA providers (physicians and other healthcare providers rendering medical care) with Medicare Part B drug coverage inquiries, and prior authorizations.
Top 3 Required Skills/Experience -
- 2-4 years Specialty and/or Retail Pharmacy
- Experience in provider/member call center or helpdesk
- Process prior authorization requests
Required Skills/Experience - The rest of the required skills/experience. Include:
- Knowledge of specialty prescription drug names, NDC drug codes, therapeutic classes and claims processing preferred
- Call Center or Helpdesk experience.
- Ability to communicate effectively with providers and members.
- Analysing written, faxed, and verbal inquiries which may lead to entry of medical authorizations into the online provider facing webtool.
Preferred Skills/Experience - Optional but preferred skills/experience. Include:
- Prior Authorization on Pt B specialty medications
- Knowledge or pricing NOC drugs
- Familiarity with Medicare Guidelines and Timeframes
- Knowledge of pharmacy and/or medical claims processing
- Proficient in Microsoft Office Products
Education/Certifications - Include:
- High School Graduate of GED equivalent required. Two (2) years of college preferred.
- Pharmacy Technician Certification (PTCB) preferred
TekWissen Group is an equal opportunity employer supporting workforce diversity.