My client in the Raleigh area is seeking an experienced pharmacy technician to work in a call center environment.
Essential Job Function:
-Performs reviews of prior approval requests submitted by enrolled providers.
-Escalates problems to appropriate personnel when needed.
-Performing under North Carolina’s approved criteria that outlines policies and requirements this position determines prior approval for specific procedures.
-Answers incoming provider calls regarding prior approval request processing.
Documents prior approval requests and associated history.
-Evaluates available information to validate prior approval requests.
-Verifies policyholder information, policy effective dates, premium status and verification of prior approval request eligibility.
-Sends prior approval request form to provider for updating, correction or completion
-Investigates simple to moderately complex prior approval request and determines level or resolution if appropriate; advises provider of status; assists in negotiating settlement and resolution of prior approval request.
-Identifies need for additional information; contacts appropriate source to obtain needed information.
-Performs review of prior approval requests for pharmacy program
-50-60 calls per day for top producers
We know that a company’s success starts with its employees. We also know that an individual’s success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek’s people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek’s 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email accommodationaerotek .com for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.