Overview:
TekWissen 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: Pharmacy Technician
Work Location: Detroit MI 48243
Duration: 4 Months
Job Type: Temporary Assignment
Work Type: Remote
Dept: Medicare Pharmacy Opera
Engagement Description:
- PA Specialist in Pt B Pharmacy will support Client and BCNA providers (physicians and other healthcare providers rendering medical care) with Medicare Part B drug coverage inquiries and prior authorizations.
Top 3 Required Skills/Experience:
- 2-4 years Specialty and/or Retail Pharmacy
- Experience in provider/member call center or helpdesk
- Process prior authorization requests
Required Skills/Experience The rest of the required skills/experience. Include:
- 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 Optional but preferred skills/experience. Include:
- 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 Products
Education/Certifications Include:
- High School Graduate of GED equivalent required. Two (2) years of college preferred.
- Pharmacy Technician Certification (PTCB) preferred
TekWissen Group is an equal opportunity employer supporting workforce diversity.