Demo

Prior Authorization Pharmacy Call Center Specialist

G-TECH Services
Detroit, MI Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 6/3/2025

Job Description

Job Description

Must be located in Michigan

145 day contract

Engagement Description – PA Specialist in Pt B Pharmacy will support BCBSM and BCNA providers (physicians and other healthcare providers rendering medical care) with Medicare Part B drug coverage inquiries, and prior authorizations.

Top 3 Required Skills / Experience –

  • 2-4 years Specialty and / or Retail Pharmacy
  • Experience in provider / member call center or helpdesk
  • Process prior authorization requests

Required Skills / Experience – The rest of the required skills / experience.  Include :

  • Knowledge of specialty prescription drug names, NDC drug codes, therapeutic classes and claims processing preferred
  • Call Center or Helpdesk experience.  Ability to communicate effectively with providers and members.
  • Analyzing written, faxed, and verbal inquiries which may lead to entry of medical authorizations into the online provider facing webtool.
  • Preferred Skills / Experience – Optional but preferred skills / experience.  Include :

  • Prior Authorization on Pt B specialty medications
  • Knowledge or pricing NOC drugs
  • Familiarity with Medicare Guidelines and Timeframes
  • Knowledge of pharmacy and / or medical claims processing
  • Proficient in Microsoft Office Products
  • Education / Certifications – Include :

  • High School Graduate of GED equivalent required. Two (2) years of college preferred.
  • Pharmacy Technician Certification (PTCB) preferred
  • View Attachments

    Company Description

    G-TECH Services, Inc. is a leading certified recruitment and placement firm that provides high-quality, flexible staffing solutions to a nationwide client base. We pride ourselves in keeping employee attrition low and offering exciting career opportunities to Engineers and IT professionals! We are large enough to make a difference and small enough to genuinely care about each and every one of our employees!

    We work with the best of the best! Join us today!

    Company Description

    G-TECH Services, Inc. is a leading certified recruitment and placement firm that provides high-quality, flexible staffing solutions to a nationwide client base. We pride ourselves in keeping employee attrition low and offering exciting career opportunities to Engineers and IT professionals! We are large enough to make a difference and small enough to genuinely care about each and every one of our employees! We work with the best of the best! Join us today!

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