Remote CPhT Certified PBM Pharmacy Prior Authorization Tech at Managed Care Staffers

Remote Temp F/T CPhT Certified Pharmacy Tech With PBM Prior Authorization Exp.

Our client, a busy Taft-Hartley Health & Welfare Fund has an immediate staffing need for a remote, experienced CPhT Certified Pharmacy Prior Authorization Technician with recent Pharmacy Benefits Management (PBM) experience. Experience with any of the following software PAHub, RxClaim Pro, or Five9 is a plus. Must work in IL, IN, WI, or TX.

We understand that you cannot submit any comments or text with your resume. If you apply through Monster, please send a separate email to emurawski[at]managedcarestaffers.com with the answers to the following questions in order to be considered for this position:

1. Are you currently a Certified CPhT Pharmacy Technician?
2. How many years have you worked in of PBM environment?
3. How many years of Prior Authorization (PA) experience do you currently have?
4. Do you have any experience with PAHub, RxClaim Pro, or Five9 Software? If yes, which ones?
5. What is your desired minimum hourly compensation? 
6. Are you immediately available for employment?

The ideal candidate is someone who has at least 2 years of recent pharmaceutical prior-authorization work experience working within a Pharmacy Benefit Management work environment such as CVS/CareMark, OptumRx, and Catamaran. You must have an active Pharmacy Technician License or a valid Pharmacy Technician Certification (CPhT).

During your 2 weeks of training, you will be working Monday-Friday (9:00am to 5:00pm). After training you will be working flexible hours between the hours of (7:00am to 7:00pm) for a total of 7.5 hours per day and a total of 37.5  paid hours per week.

Job Responsibilities

• You will be responsible for handling phone calls and faxes from both members and providers utilizing the Five9 software and a headset and assisting them with obtaining pharmaceutical prior authorizations with complete computer documentation.
• In this position you will be making a high volume of outgoing calls per day.
• Promptly resolving escalated pharmacy benefit issues and customer service calls.
• In this position you will be required to filter and sort files in Excel.
• You must be familiar with resolving third-party and pharmaceutical claim rejections.

Job Requirements

• 2 years of working knowledge and experience as a CPhT Pharmacy Technician working in a Pharmacy Benefit Management (PBM) environment.
• High School Diploma or GED
• Must be a Certified Pharmacy Technician (CPhT).
• 2 years of experience with working knowledge and experience in prior authorization within a pharmacy benefit manager is required.
• 2 years of experience working knowledge and experience with third-party medical/prescription payments or third-party rejections and resolving rejected claims experience.
• Microsoft Office Word, Excel, PowerPoint, and Outlook proficiency.
• Intermediate Excel proficiency in sorting and filtering files is essential.  
• Experience with any of the following software PAHub, RxClaim Pro, or Five9 is a plus.

If you or anyone you know is interested, qualified, and immediately available for employment please email an updated resume to us for immediate review and consideration.