*Job Title: Prior Authorization Pharmacy Technician*
*Work Location: Healthcare Office and Remote*
*Division/Department: Care Management*
*X Full-time*
*X Nonexempt*
*Essential Duties and Responsibilities:*
* Proficient in all competencies & requirements of UM coordinator.
* Responsible for the gathering and procurement of clinical documents for review and for data entry.
* Inspect authorizations for appropriate data field entry, clinical documentation, and appropriate authorization coding.
* Generate recommendation letters and submit to the appropriate client via email or fax.
* Collaborate with the appropriate clients to gather pertinent documents required for authorization review.
* Calculate billable units to make sure the appropriate and correct medications are billed.
* Audit review data on a monthly basis to help identify data errors.
* Coordinate the assignment of authorizations to the appropriate site of care.
* Triage reviews to the appropriate medical panelist.
*Education and/or Work Experience Requirements:*
* 2 years of healthcare related coordination
* High school diploma or equivalent
* Valid Pharmacy Technician license
*Skills and Requirements:*
* Highly organized with attention to detail
* Excellent verbal and written skills
* Excellent interpersonal skills and willingness to work as part of a team
* Proficient with Microsoft, Excel, Word, and related software
* Ability to maintain confidentiality while working with patient medical information
*Other Key features of Job:*
* Work in a professional office environment
* Work with professional staff and management
* Part of a growing healthcare company
*Physical Requirements:*
* Ability to perform the essential job functions consistent safely and successfully with the ADA, FMLA and other federal, state, and local standards, including meeting qualitative and/or quantitative productivity standards.
* Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards
* Must be able to lift and carry up to 50 lbs
* Must be able to talk, listen and speak clearly on telephone
Work Location: Hybrid remote in Glendale, CA 91203
In Office - 3 days/ week
Remote - 2 days/week
Job Type: Full-time
Pay: $21.
00 per hour
Expected hours: 40 per week
Benefits:
* 401(k)
* Dental insurance
* Flexible spending account
* Health insurance
* Paid time off
* Vision insurance
Schedule:
* 8 hour shift
* Monday to Friday
Ability to commute/relocate:
* Glendale, CA 91203: Reliably commute or planning to relocate before starting work (Required)
Experience:
* Utilization management: 2 years (Required)
Work Location: Hybrid remote in Glendale, CA 91203
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