Job Information
Actalent Pharmacy Technician in Detroit, Michigan
Description:
Job Responsibilities:
Seeking Nationally Certified Pharmacy Technicians (NCPH) to process prior authorizations and prescription exceptions which may include: resolving claim rejects and member and physician outreach. Enter member demographics and prescription information into the data processing system. Research and resolve rejected insurance billing issues and/or escalated member issues. Escalate questions regarding prescription to a Pharmacist for interpretation or provide direction on processing. Assist with inbound and/or outbound patient or physician calls. This role supports the utilization review team and deals primarily with authorization guidelines which very per prescription and coverage type (State, Medicaid, Medicare).
Shift: Mon-Fri 10am-6:30pm Saturday rotation (8-4:30pm) 6 week Saturday rotation so 1 Saturday every 6 weeks.
No travel required
Skills:
prior authorization, insurance, cpht, PTCB
Top Skills Details:
prior authorization,insurance,cpht
Additional Skills & Qualifications:
Must Have:
One or more years of retail, hospital or specialty pharmacy experience
Certified or Registered Pharmacy Technician
Computer skills (Excel, Word and Outlook primarily
Nice to have:
Extensive prescription knowledge
Extensive prior authorization knowledge
Disqualifier: No Certification / no experience
Experience Level:
Intermediate Level
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
Hiring diverse talent
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
The company is an equal opportunity employer and will consider all applications without regard 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 email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.
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