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Prior Authorization Specialist (Pharmacy)

SkySource Solutions Brentwood ,TN
  • Expired: over a month ago. Applications are no longer accepted.
Job Description

We are looking for an enthusiastic, people-oriented healthcare professional to join our fortune 500 team! The Pharmacy Claims Specialist functions as the primary contact for our customers/patients, placing the orders for the patient, collaborating and communicating with other departments to ensure unimpeded resolution of customer/patient issues and special projects. We are also in need of Bilingual Spanish candidates.

RESPONSIBILITIES

  • Ensures that patient pharmacy needs are fulfilled in a timely, accurate, and service oriented manner and handles refill orders and transfers incoming calls to specialized departments.
  • Field incoming calls from customer/patients on a daily basis.
  • Contact the pertinent customers/patients on a monthly basis to confirm current prescriptions, changes in prescriptions, or any additional prescriptions.
  • Review patient’s medication needs and advises of early/late refills due in Pharmacy Management System (per prescriptions from physicians).
  • Inform customer of any changes or delays in their order due to product shortages, product changes, recalls, or back ordered and discontinued products.
  • Determine the best delivery method based on the customer “remaining days” supply, delivery location, cost, and product stability.
  • Resolve all order discrepancies interfacing with the appropriate departments to ensure resolution.
  • Update Pharmacy Management System patient/customer records with all appropriate and necessary documentation.
  • Responsible for Medication Profiles and entering and completing enrollment forms.
  • Review medication shipment activity and recommends inactivation when indicated.

EXPERIENCE AND REQUIRED SKILLS:

  • 1 – 2 years’ related experience.
  • Healthcare or pharmacy experiences required
  • Previous call center experience, strongly preferred.
  • Understands the importance of, and demonstrates a customer service philosophy.
  • Bilingual (Spanish and English), preferred.
  • Proficient in word processing and spreadsheet software such as Microsoft Excel and Word.
  • Develop a working knowledge of pharmacy dispensing regulations, data systems, billing practices and policies, and
  • standard medical abbreviations and terminology.
  • Ability to work independently, under general supervision.
  • Excellent written and verbal communication skills.
  • Excellent organizational and analytical skills.
  • Detail oriented.Compensation: $16.50/HR

Hours: training schedule 8am-4:30pm

After Training 9:00am-6:00P

Company Description
SkySource Solutions believes in attaining success. We know success is important to our clients, applicants, candidates, and our internal staff and want to be an integral part of that process.

The SkySource Difference: We are not just another staffing firm! We truly care about our candidates long-term success and how we get there together. So the BIG Question is... How do we get there?
Our team of Recruiters come with 5 plus years of industry experience and are not looking to just find you a job. We truly care about your short-term and long-term career goals and understand what's important in making that next career move. We want to understand what you are looking for from a cultural, compensation and benefits perspective.

Apply today and experience the SkySource difference!

SkySource Solutions

Why Work Here?

Building on over 25 years of experience, SkySource will find the right opportunity for you!

SkySource Solutions believes in attaining success. We know success is important to our clients, applicants, candidates, and our internal staff and want to be an integral part of that process. The SkySource Difference: We are not just another staffing firm! We truly care about our candidates long-term success and how we get there together. So the BIG Question is... How do we get there? Our team of Recruiters come with 5 plus years of industry experience and are not looking to just find you a job. We truly care about your short-term and long-term career goals and understand what's important in making that next career move. We want to understand what you are looking for from a cultural, compensation and benefits perspective. Apply today and experience the SkySource difference!

Address

Franklin
Brentwood, TN
USA

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