Prior Authorization Specialist/ Precertification Specialist Job at Tap Growth ai, Saginaw, MI

Yk1CWis4eUR4UEN3RGQzdzBSMUY5VUVmZEE9PQ==
  • Tap Growth ai
  • Saginaw, MI

Job Description

We're Hiring: Prior Authorization Specialist!

We are seeking a detail-oriented and reliable Pharmacy Technician to join our healthcare team. 

Location: Saginaw, MI
Work Mode: On-site
Role: PA Specialist

Job Description:

PA Specialist in Pt B Pharmacy will support clients and providers (physicians and other healthcare providers rendering medical care) with Medicare Part B drug coverage inquiries and prior authorizations.

Required Skills/Experience:

  • 2-4 years Specialty and/or Retail Pharmacy
  • Experience in provider/member call center or helpdesk
  • Process prior authorization requests
  • 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.
  • Analyzing written, faxed, and verbal inquiries which may lead to entry of medical authorizations into the online provider facing webtool.
Preferred Skills/Experience:

  • 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 Product
Education/Certifications:

  • High School Graduate of GED equivalent required. Two (2) years of college preferred.
  • Pharmacy Technician Certification (PTCB) preferred

Job Tags

Permanent employment, Work at office, Night shift,

Similar Jobs

NX Direct

Junior Account Manager Job at NX Direct

 ...Job Description Junior Account Manager - Entry-Level Opening Are you looking for a career that delivers opportunities based on your OWN personal development and competitive spirit, rather than your experience level? The entry-level Sales Account Manager at... 

CVS Health

Equipment Operator Job at CVS Health

 ...Job Code: 417148 Posting Dates: December 11, 2024 January 5, 2025 @ 11:59 PM Department: Receiving Position: Machine Putaway Equipment Operator Location Code # DC047 Req ID: Job Type: Full Time 40 hours per week position - Monday to Friday Shift Hours: First Shift -... 

House Buyers of America

Transaction Coordinator Job at House Buyers of America

 ...Buyers of America is looking for a remote Transaction Coordinator to ensure all acquisitions and...  ...including Microsoft Office)You thrive on working in a fast-paced environmentWhy we are...  ...renovate, and resell a high volume of homes offering a guaranteed, fast, and hassle... 

The Birchmere Group, LLC

Information Systems Security Engineer 2 with Security Clearance Job at The Birchmere Group, LLC

Information Systems Security Engineer 2 The Information Systems Security Engineer (ISSE) shall perform, or review, technical security assessments of computing environments to identify points of vulnerability, non-compliance with established Cybersecurity standards and... 

Alumni Healthcare Staffing

Interventional Radiologist Job at Alumni Healthcare Staffing

 ...Interventional Radiologist at Alumni Healthcare Staffing summary: An Interventional Radiologist at Wellstar West Georgia Medical Center performs primarily image-guided, minimally invasive diagnostic and therapeutic procedures. The role involves a schedule focused 70...