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Job Description
- Req#: 25-61251
- PA Specialist in Pt B Pharmacy will support client providers (physicians and other healthcare providers rendering medical care) with Medicare Part B drug coverage inquiries, and prior authorizations.
- 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.
- 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
- High School Graduate of GED equivalent required. Two (2) years of college preferred.
- Pharmacy Technician Certification (PTCB) preferred.
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
Our Client, a Health Insurance company, is looking for a Pharmacy Technician for their Detroit, MI/Remote location.
Responsibilities:
Requirements:
Why Should You Apply?
As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
About the company
ICONMA is a nationwide consulting firm with corporate headquarters in Troy, MI, providing Professional Staffing and Project Based Services and Solutions for Fortune 1000 clients in a broad range of industries. Core Industries served include: Biotech/Ph...