Remote Pharmacy Technician
Job Description
As a Pharmacy Technician in the Appeals department, you will primarily handle cases involving denied Prior Authorizations for Medicare and Medicaid patients. Your main responsibilities include reviewing cases, reaching out for necessary additional information, and preparing cases for Pharmacists who will make the final determination on whether to uphold or overturn the denial. This role involves making about 60 outbound calls per shift to elderly members, addressing their concerns about denied medication, predominantly injectables administered at a doctor's office. You will be expected to work independently in a remote setting, ensuring a distraction-free, HIPAA-compliant environment.
Hard Skills
This is a fully remote position.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
As a Pharmacy Technician in the Appeals department, you will primarily handle cases involving denied Prior Authorizations for Medicare and Medicaid patients. Your main responsibilities include reviewing cases, reaching out for necessary additional information, and preparing cases for Pharmacists who will make the final determination on whether to uphold or overturn the denial. This role involves making about 60 outbound calls per shift to elderly members, addressing their concerns about denied medication, predominantly injectables administered at a doctor's office. You will be expected to work independently in a remote setting, ensuring a distraction-free, HIPAA-compliant environment.
Hard Skills
- Pharmacy Technician experience
- Customer service
- Computer skills
- Ability to work remotely
- Independent working
- Strong communication
- Problem-solving
- Empathy
This is a fully remote position.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
- Hiring diverse talent
- Maintaining an inclusive environment through persistent self-reflection
- Building a culture of care, engagement, and recognition with clear outcomes
- Ensuring growth opportunities for our people
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
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Employment type
Full-time -
Job function
Health Care Provider -
Industries
Business Consulting and Services
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