About Us:
Think Global – Expect Amazing! TalentWorldGroup is a Revolutionary Multilingual Contact Center. We are a truly peopleÂ’s company, and we are on a mission to reinvent professional Home-Based Working and build the Workplace of the Future!
Position Overview:
We are seeking seven Remote Pharmacy Technicians based in the US, licensed in preferably from Illinois , to work for a premium client in the medical field. This is a fully remote/work-from-home position providing support to customers.
Key Responsibilities:
• Review pertinent patient information and check appropriateness using clinical criteria.
• Make approval recommendations on all services that meet clinical review criteria. Refer all cases not meeting clinical criteria to pharmacist clinical reviewer.
• Practice and maintain the principles of utilization management by adhering to company policies and procedures.
• Uphold clinical integrity of pharmaceutical solutions by participating in ongoing training programs to… ensure quality performance in compliance with applicable standards and regulations.
• Assist with the documentation and implementation of both written and verbal communications to physicians/prescribers and assist in the maintenance of the edits and data elements that support the edits.
• Be available for consultation on pharmacy-related questions to resolve claims submission related to medication edits.
• Contact physicians/prescribers to obtain pertinent clinical history/information.
• Provide optimum customer service through professional/accurate communication while maintaining NCQA and health plan’s required timeframes.
• Regularly review and monitor information on pended claims identified as outliers by internal and/or external analysis of pharmacy claims data.
• Support Intake call volume and order entry if necessary.
• Determine eligibility for medication reimbursement based upon established clinical criteria and clinical knowledge and enter approvals or denials in the system.
• Electronically document both written and verbal communications with physicians, their staff, cardholders, and pharmacies.
• Escalate medical exception requests to nurse, pharmacist, or physician on the utilization review clinical team when further review is necessary.
• Other duties as assigned.
Training Program:
• Five weeks of paid training starting in September.
• Training is fully remote/work-from-home.
• $18 Training Hourly Rate.
• Hourly rate of $20 after completing the training.
Requirements:
• University Degree – Certified Pharmacy Technician (Required).
• Licensed in Florida, Illinois, Indiana, or Wisconsin (Required).
• Fluent in English (US) (Required).
• Living in the USA due to HIPAA compliance.
• 4 to 6 years of supply chain or customer support service experience (Preferred).
Internet and Hardware Requirements:
• Internet: Broadband connection with Ethernet-based LAN.
• Processor: 1.8GHz upwards (64bit preferable).
• RAM: 4GB upwards.
• Storage: 10GB minimum.
• Resolution: 1920×1080 preferred.
• Headset: Wired USB.
• Operating System: Windows 10 or upwards, Mac OSX 11 or upwards.
If you are a dedicated and compassionate Pharmacy Technician, we encourage you to apply quickly. Training begins in September, and we are eager to welcome you to our team.
Job Types: Full-time, Part-time, Contract
Expected hours: No less than 30 per week
Benefits:
• Opportunities for advancement
• Paid training
• Referral program
• Work from home
Physical Setting:
• Telehealth
Schedule:
• Day shift
• Monday to Friday
• Morning shift
• No weekends
Application Question(s):
• Are you available for an Interview this week?
Experience:
• Pharmacy technician: 4 years (Required)
License/Certification:
• Pharmacy Technician Certification (FL, IN, IL, or WI) (Required)
Work Location: Remote
