Technician I, Prior Authorizations - Operations
Core
Handles inbound calls from providers and pharmacies to process criteria-based prior authorizations and maintains accurate documentation.
Role type
Operations technician (prior authorizations)
Builds
Prior authorization decisions and documentation for health plans
Domain
Health insurance / Pharmacy operations
Deliverable
client delivery
Required skills
Microsoft Office Suite (Excel, Word), keyboarding, multitasking, basic pharmaceutical knowledge, problem solving, written and verbal communication
Preferred skills
Associate or Bachelor's degree, equivalent work experience
Responsibilities
Answer inbound calls from providers and pharmacies, process prior authorizations via fax and ePA, transfer clinical questions to pharmacists, respond to department mailboxes
Seniority
Entry-level, hands-on IC
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