Job Type
Full-time…
Description
CSpring is actively searching for a REMOTE Pharmacy Technician to support our Prior Authorizations team with Indiana Medicaid Rx. This position starts at $16.00 per hour with full benefits, paid holidays, and PTO on day one.
CSpring is a woman-owned business based in the Indianapolis metro area. We are proud to be a Best Place to Work in Indiana! CSpring celebrates diversity, equity, and inclusion, and is an equal opportunity employer.
• *Please note that this position is only open to Indiana residents.**
Our Medicaid Rx Customer Service Center provides advanced inbound customer service for all Indiana Medicaid members and providers who have questions regarding pharmacy coverage and claims processing. As a Pharmacy Technician, you will utilize multi-line phones to respond to inquiries concerning in-network pharmacy locations, general coverage inquiries, and medication pricing.
Responsibilities:
• Prep, review, and approve/deny requests for prescription prior authorization and/or appeal
• Scan, index and prepare documents related to prior authorization and/or appeal request, verifying and updating patient/member profile information
• Compile medical notes (disease state, drug treatment history and current drug plan) from patient/provider in support of the request, review request against decision tree and approval protocol, and perform outreach for additional information as needed to support the request
• Update approved requests in claims systems and inform patient/provider of approval
• Forward applicable requests through additional review path as needed
• Ensures Rx denial is communicated to patient/provider along with rationale
Requirements
• High school diploma
• 1-2 years of prior pharmacy experience (retail, LTC, hospital, etc.)
• Valid Indiana Pharmacy Technician license
• Valid national CPhT certification, or the ability to obtain within six months of hire
• Proficiency with computers, software systems, data entry, and Microsoft Office suite
• Strong time management, including the ability to organize and manage multiple priorities
• Strong customer-orientation
• Self-motivated to complete tasks on time
• Positive attitude
• Excellent interpersonal and communication skills
• Dedication to company values: Committed, Collaborative, Consultative, Caring
• Ability to pass E-Verify, a criminal background screen, and a pre-employment drug screen
• Ability to work overtime as needed to support department goals
Preferred Qualifications
• Prior experience working with Medicaid and/or with government healthcare
• Prior experience working in remote setting
• Call center experience
• Inbound/outbound call experience in any pharmacy setting
Salary Description
$16.00/hr
