Job Description
Job Description
Job Description
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
Job Tags
Remote job, Hourly pay, Holiday work,