- M-F 8: 00 am to 4: 30 pm
- The Tech I Prior Auth takes in-bound calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process.
- Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
- The Tech I will also assist with other duties such as outbound calls, monitoring/responding to inquiries in mailboxes and other duties as assigned by the leadership team.
- Effectively manage work volume by handling inbound calls/fax requests utilizing appropriate courteous and professional behavior based upon established standards.
- Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.
- CPhT registered with the TX State Board of Pharmacy.
- Ability to deal with a diverse customer base in a friendly and confident manner (internal and external customers).
- Excellent communication skills (oral, written, grammar, listening).
- PC Windows experience required.
- Basic math skills required (addition, subtraction, multiplication, division).
- Ability to maintain confidentiality.
A-Line Staffing Solutions