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Job Description

Insight Global is looking for Prior Authorization Technicians to work fully remote in support of one of our large healthcare clients. Within this role, this person will provide patient care by removing the barriers to medication access. Working with insurance companies and clinician offices to facilitate approval of medications through prior authorizations. Working with patients and a variety of funding sources such as foundations, or directly through manufactures to obtain financial assistance for high dollar co-pays. Provide phone support to patients by navigating a variety of pharmacy dispensing systems to adjudicate claims, refill medications, and increase adherence in patients. Below are the key responsibilities for this role:

Directly communicate with insurance companies to facilitate the approval of medications.

Navigate pharmacy operating systems to input data, perform adjudication on test claims and prepare action plans for follow-up.

Effectively communicate across databases, electronic medical records and emails to document patient concerns, prior authorization status, and financial assistance needs.

Review prescriptions with doctors' offices to ensure optimal care of the patient.

Keep complete and accurate records of patient communications.

Assist patients in the management of their pharmacy insurance claims.

Work closely with pharmacists and pharmacy liaisons to provide an integrated approach quality patient care.

Communicate directly with patients over the phone to assist them in all aspects of medication compliance.

Research and investigate information to enable strategic decision-making by others.

Manage, organize, and update relevant data using database applications.

Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.

Identify trends, resolve problems; recommend improvements; implement change.

Actively participate in process improvement initiatives.

Act as a value-added business partner to stakeholders throughout the organization.

Protect organization's value by keeping information confidential.

Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.

Minimal in or out of state travel may be required.

Perform other duties as assigned.

Hourly Pay Range: $20/hr-$22/hr based on experience

We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (https://airtable.com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12ScreenRdr.pdf) .

To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Skills and Requirements

1+ years of experience as a Pharmacy Technician

High school diploma or GED

State registered or state certified as a pharmacy tech

o If in DE, PA, or NY - must have National certification in lieu of state registration (PTCB or NHA)

Experience with prior authorization or test claims Nationally certified as a CPhT (PTCB or NHA)

Good time management skills

Strong collaborator and team player

Organized problem solver null

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].