Salary $15 an hour job type full-time
Full job description
Cspring is actively searching for a remote pharmacy technician to support our prior authorization team with indiana medicaid rxThis is a full-time role that works from tuesday to saturdayThe ideal candidate is someone who is looking to move from out of a retail rx setting and into a professional environmentThis position starts at* $15.00 per hour with full benefits, paid holidays, and pto on day one*.
Cspring is a woman-owned business based in the indianapolis metro regionOur full-time employee consultants serve the healthcare, business, and technology sectorsWe are proud to be a* 2021 best place to work in indiana and 2021 indy star top workplace! *cspring celebrates diversity, equity, and inclusion, and is an equal opportunity employer.
**please note that this position is only open to indiana residents.**
The customer service center provides advanced inbound customer service for all indiana medicaid members and providers who have questions regarding pharmacy coverage and claims processingPrior authorization technicians must utilize multi-line phones to respond to inquiries concerning in-network pharmacy locations, general coverage inquiries, and medication pricing.
Prior authorization technicians must satisfy workload within specific time frames and must be self-motivated to complete these tasks and may have the opportunity for overtime depending on workload, which may include evenings and/or weekends.
Prep, review and approve/deny requests for prescription prior authorization and/or appeal.
Scan, index and prepare documents related to prior authorization and/or appeal request, verifying and updating patient/member profile information.
Compile medical notes (disease state, drug treatment history and current drug plan) from patient/provider in support of the request, review request against decision tree and approval protocol, perform outreach for additional information as needed to support the request.
Update approved requests in claims systems and inform patient/provider of approval.
Forward applicable requests through additional review path as needed.
Ensures rx denial is communicated to patient/provider along with rationale.
High school diploma
1-2 years of prior pharmacy experience (retail, ltc, hospital, etc.)
Must have a valid indiana pharmacy technician license
Must have a valid national cpht certification, or the ability to obtain within six months of hire
Proficiency with computers, software systems, data entry, and microsoft office suite
Must have strong time management, including the ability to organize and manage multiple priorities
Strong customer-orientation is a must
Ability to maintain a positive attitude with customers and internal personnel at all times
Excellent interpersonal and communication skills
Commitment to company values: committed, collaborative, consultative, caring
Ability to work overtime as needed to support department goals
Ability to pass e-verify, a criminal background screen, and a pre-employment drug screen
Prior experience working with medicaid and/or with government healthcare (highly preferred)
Cspring is a growing, woman-owned, consulting firm based in fishers, indianaOur team aligns business goals with the right peopleCspring is proud to be a 2021 best place to work in indiana and indy star top workplace! if you are committed, collaborative, consultative, and caring – you will fit right in with our teamWe pride ourselves on working together and understand that the whole is stronger than any one of us individuallyWhen you join cspring, you become part of our family - our ohanaWhen you`re part of our ohana, we promise to communicate well, provide opportunities for growth, and most importantly, celebrate our successes togetherBeing part of cspring’s ohana means you will be informed, recognized, rewarded, and respected.
Cspring offers a comprehensive compensation, training, and benefits package; including paid time off, medical/dental/vision/life/disability insurance on day one, and 401(k) with company match.
For more information on cspring, please visit our website at www.cspring.com.
Job type: full-time