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Job Overview
Our health insurance company client is looking for a Pharmacy Technician. As a Pharmacy Technician - Prior Authorization, you will be answering incoming calls, completing outbound calls to/from patients, physicians and pharmacists while ensuring a high level of customer service and maximizing productivity. This role is equally challenging and rewarding. You will help identify problems and determine solutions both independently and, in a team/group setting. You’ll need to work within multiple computer systems simultaneously as you respond to questions or provide specific medication details/clinical information. It’s a fast paced, high-volume environment where accuracy is essential.  If you want to carry out your practice in an office, fast paced environment with great career development opportunities, this role is for you!
Job Responsibilities:
- Receive member and provider calls
- Process prior authorizations through various computer systems ensuring the accuracy of all data and updating as necessary
- through inbound calls
- Navigate across multiple computer systems to respond to questions or to provide specific medication details/clinical
- information
- Receive incoming calls from members or providers and conduct outgoing calls as needed to provide follow-up or consultation
- such as prior authorization requirements, appeals, etc.
- Apply benefit plan criteria when making decisions (approvals/denials) or recommendations
- Provide members with general benefit information
- Â Partner with others to gather additional information and/or to interpret clinical guidelines
Job Requirements:
Valid, unrestricted Puerto Rico Pharmacy Technician license or the Pharmacy Technician Certification Board
 Proficiency with computer and Windows PC applications including ability to navigate and learn new and complex computer
system application
Proven ability to identify problems including complex issues and determine solutions, both independently and in a team/group
setting
Professional proficiency in both English and Spanish (English proficiency assessment will be required for this position)
Available for 8 weeks of on-site process training
Required Availability:
- Ability to work 40 hours/week during standard business operating hours Monday - Friday from 8:00am - 10:00pm AST and Saturdays from 9:00am - 7:00pm (It may be necessary, given the business need, to work occasional overtime on weekends and
holidays) - On-site training at San Juan, after that hybrid or remote modality may apply.
Compensation
- $15.00ph, full time job
TPIS is an Equal Opportunity Employer (EEO Employer / Affirmative Action for Females / Disabled / Veterans). We comply with all Federal, State and Local laws regarding nondiscrimination.
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