What are the responsibilities and job description for the PBM Pharmacy Prior Authorization Technician position at SGRX?
SGRX is a Privately-owned, Michigan Corporation providing Pharmacy Benefit Management (PBM) services to private and public entities nationwide, including Self-funded organizations and Government programs.
We are seeking an enthusiastic Certified Pharmacy Technician to join our Prior Authorization team. The position is full-time
Prior Authorization Technician Responsibilities:
- Receive request for prior authorization via phone/fax
- Prepare prior authorization form to be faxed
- Handle pharmacy and member calls for claim processing and formulary inquiries
- Follow through with prior authorization process, updating prior authorization database
- Contact Physician for information, labs, chart notes, any information pertinent to the patient’s diagnosis.
- Prepare received “complete” prior authorization, including all requested labs, chart notes etc. along with completed prep sheet, for clinical review
- Interact with both Providers and members to fulfill request
- Upon completion of prior authorization process, send communication per fax (or verbal if necessary) to Prescriber’s office
- Contact pharmacy to submit and verify successful claim processing of all approvals
- Uphold all organization’s confidentiality and HIPAA standards
- Update and maintain prior authorization database
Desired Skills and Qualifications:
- Minimum of three years’ experience
- Experience with Microsoft applications
- Strong written and verbal communication skills with a high attention to detail
- Ability to multi-task and prioritize work to meet turnaround times
- Team player with a “can do” attitude in a fast-paced, diverse environment
- Readily takes initiative to learn and works to get results
- Pharmacy Technician Certification required
- Clinical experience a plus
Job Type: Full-time
Job Type: Full-time
Pay: $45,000.00 - $50,000.00 per year
Schedule:
- Monday to Friday
- On call
- Overtime
Experience:
- Pharmacy technician: 1 year (Preferred)
Ability to Relocate:
- Grosse Pointe Park, MI 48230: Relocate before starting work (Required)
Work Location: Hybrid remote in Grosse Pointe Park, MI 48230
Salary : $45,000 - $50,000