Contract Prior Authorization Pharmacist Jobs in Riverside, CA

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

We are aggressively seeking a Prior Authorizations Pharmacy Technician to join a large Healthcare organization. As the year 2017 is in full swing, this organization is very busy, and they need YOUR help.

Take advantage of flexible hours, a competitive salary, and be a Prior Authorizations Pharmacy Technician with one of the fastest-growing healthcare companies in U.S. Get in NOW, while there is still huge room for growth and career development!
This exciting opportunity will require a Prior Authorizations Pharmacy Technician who can provide a high level of service and attention to their patients. If you are a Prior Authorizations Pharmacy Technician and you meet the qualifications listed below, please click apply below for consideration

Daily Responsibilities:

The essential functions of a Prior Authorizations Pharmacy Technician are providing expertise and customer service support to members, customers, and/or providers. This position exists to take incoming requests for prior authorizations, for formulary and non-formulary medications, while ensuring a high level of customer service and maximizing productivity. Request can be received via fax or telephone, from providers' offices and pharmacists. The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs). The technician must provide the information clearly, accurately and in a professional manner. Interactions with callers must be documented per contractual and various regulatory / legal requirements.

• Using established criteria and guidelines, the pharmacy technician receives and processes prior authorization requests made by providers and members for medications not inherently covered on a member's prescription drug plan
• Answer prior authorization inquiry calls or/and faxes as well as research and resolve formulary and benefit issues using the appropriate reference material
• Resolve issues and complaints in a timely manner
• Performs other duties as assigned by management
• Handles inbound phone requests and gathers member data to provide information for Pharmacist consultations
• Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer
• Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity review

Shift:

• Need to be available for any 8-hour shift between 5am and 11pm Monday through Saturday
• Training hours will be 8-5 M-F
• Overtime and Holidays will be required based on business

Requirements:

• HS Diploma
• Active Pharm Tech License in the state
• Knowledge in Prior Authorizations or Pre-certifications
• Knowledge in Insurance experience (Medicare, Medicaid, commercial)
• Computer skills are a MUST (MS Excel, Word, Outlook)

Advantages of this Opportunity:

• 09/11 Start Date
• Competitive salary: Up to $ 18.30 per hour (depending on license and experience)
• Long Term Contract to Permanent
• Growth Opportunity
• Fun and positive work environment

Interested in being considered?

If you are interested in being considered for the Prior Authorizations Pharmacy Technician position, please click the I'm Interested button below to be qualified for this fast-moving opportunity!