Prior Authorization Specialist 

Overview:

Tek Wissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.

Title: Prior Authorization Specialist

Work Location: Lansing, MI 48901

Duration: 2 Months

Job Type: Contract

Work Type: Remote

Job Description

Department: Pharmacy Technician

Engagement Description:

This position requires the ability to multitask within a high-volume concierge contact center setting.

Top 3 Required Skills/Experience

Ability to process Coverage Determination Requests within CMS Timeframes
Ability to communicate all pharmacy benefits both verbally and written
Ability to have strong attention to detail while multitasking within a high demand environment

Required Skills/Experience The rest of the required skills/experience. Include:

Minimum 2 years of experience in Pharmacy Retail, PBM, Hospital, Managed Care
Experience with Microsoft Programs (Outlook, Excel, Word, Access)
Knowledge of prescription drug names, therapeutic classes and claims processing
Knowledge of Privacy Regulations
Pharmacy Technician Certification (PTCB) preferred

Preferred Skills/Experience Optional but preferred skills/experience. Include:

Medicare Part D Experience
Contact Center Experience
Knowledge of CMS/NCQA regulations
Knowledge of pharmacy claims processing

Education/Certifications Include:

High School Diploma
2 years of college preferred

TekWissen Group is an equal opportunity/affirmative action Employer (m/f/d/v) supporting workforce diversity.