Prior Authorization Technician II

About the role

The position is fully remote. The required working schedule is 8:00 AM – 5:00 PM MST or 10:00 AM – 7:00 PM EST, depending on business needs and your time zone.

Responsibilities

• Starts all clinical prior authorization requests via telephone or email, including creating and faxing cases for prior authorization while maintaining complete, timely and accurate documentation of all requests.
• Completes PA requests via telephone with appropriate staff at prescriber’s office by answering questions based on protocols when possible.
• Works closely with pharmacies, providers, and members to resolve any questions or issues involving prior authorizations while maintaining confidentiality of all PHI.
• Responds in a prompt, professional, and courteous manner to pharmacy, provider, and member inquiries regarding administrative prior authorizations.
• Clears and follows up on all messages left on prior authorization voicemail box in a timely manner.
• Maintains confidentiality of all PHI in compliance with state and federal law.
• Consistently meets established productivity, schedule adherence, and quality standards, while maintaining a good attendance record.
• Other duties as assigned.

Requirements

• Pharmacy Technician Certification strongly preferred or must be committed to obtaining PTCB Certification within 6 months of position start date.
• Technician registration that is active and in good-standing, as applicable based upon state requirements for technicians.
• At least 2 years of pharmacy related experience.
• At least 2 years of customer service-related experience.
• MS Office Suite knowledge (including the ability to learn new and complex computer system applications).

Qualifications

• Strong telephone, verbal, and written communication skills.
• Knowledge of customer service principles and practices.
• Time Management Skills.
• Teamwork and team building skills.
• Ability to work independently within a team environment with little direct supervision.
• Ability to work in a high pace, stress environment.
• Strong attention to detail and effective follow-up skills.
• Ability to multi-task.
• Claim system knowledge.
• Positive attitude with excellent customer service mindset demonstrating WellDyneRx commitment to incredible service.
• Computer proficiency to navigate required databases and operate in required software packages.
• Ability to sit at a computer using a phone and headset for length of shift with breaks and lunch away from desk assigned per length of given shift.
• Demonstrated ability to handle problems tactfully.

Skills

• Strong telephone, verbal, and written communication skills.
• Knowledge of customer service principles and practices.
• Time Management Skills.
• Teamwork and team building skills.
• Ability to work independently within a team environment with little direct supervision.
• Ability to work in a high pace, stress environment.
• Strong attention to detail and effective follow-up skills.
• Ability to multi-task.
• Claim system knowledge.
• Positive attitude with excellent customer service mindset demonstrating WellDyneRx commitment to incredible service.
• Computer proficiency to navigate required databases and operate in required software packages.
• Ability to sit at a computer using a phone and headset for length of shift with breaks and lunch away from desk assigned per length of given shift.
• Demonstrated ability to handle problems tactfully.

Benefits

• Medical, Dental, and Vision Benefits.
• Medical Savings Account Options with Company match.
• 401K after 90 days of employment.
• Employee Assistance Program.
• Life and Supplemental insurance.
• Education Reimbursement.
• Paid Time Off.
• Career Pathing.

Pay

Base Salary Range: $28,700 - $40,900. In accordance with applicable state and federal laws, the range provided is WellDyne's reasonable estimate of the base compensation for this role. The actual amount may differ based on non-discriminatory factors such as experience, knowledge, skills, abilities, and location.

Schedule

The required working schedule is 8:00 AM – 5:00 PM MST or 10:00 AM – 7:00 PM EST, depending on business needs and your time zone.