About Us:
Think Global – Expect Amazing! TalentWorldGroup is a Revolutionary Multilingual Contact Center. We are a truly people?s company, and we are on a mission to reinvent professional Home-Based Working and build the Workplace of the Future!
Position Overview:
We are seeking seven Remote Pharmacy Technicians based in the US, licensed in preferably from Illinois , to work for a premium client in the medical field. This is a fully remote/work-from-home position providing support to customers.
Key Responsibilities:
? Review pertinent patient information and check appropriateness using clinical criteria.
? Make approval recommendations on all services that meet clinical review criteria. Refer all cases not meeting clinical criteria to pharmacist clinical reviewer.
? Practice and maintain the principles of utilization management by adhering to company policies and procedures.
? Uphold clinical integrity of pharmaceutical solutions by participating in ongoing training programs to… ensure quality performance in compliance with applicable standards and regulations.
? Assist with the documentation and implementation of both written and verbal communications to physicians/prescribers and assist in the maintenance of the edits and data elements that support the edits.
? Be available for consultation on pharmacy-related questions to resolve claims submission related to medication edits.
? Contact physicians/prescribers to obtain pertinent clinical history/information.
? Provide optimum customer service through professional/accurate communication while maintaining NCQA and health plan?s required timeframes.
? Regularly review and monitor information on pended claims identified as outliers by internal and/or external analysis of pharmacy claims data.
? Support Intake call volume and order entry if necessary.
? Determine eligibility for medication reimbursement based upon established clinical criteria and clinical knowledge and enter approvals or denials in the system.
? Electronically document both written and verbal communications with physicians, their staff, cardholders, and pharmacies.
? Escalate medical exception requests to nurse, pharmacist, or physician on the utilization review clinical team when further review is necessary.
? Other duties as assigned.
Training Program:
? Five weeks of paid training starting in September.
? Training is fully remote/work-from-home.
? $18 Training Hourly Rate.
? Hourly rate of $20 after completing the training.
Requirements:
? University Degree – Certified Pharmacy Technician (Required).
? Licensed in Florida, Illinois, Indiana, or Wisconsin (Required).
? Fluent in English (US) (Required).
? Living in the USA due to HIPAA compliance.
? 4 to 6 years of supply chain or customer support service experience (Preferred).
Internet and Hardware Requirements:
? Internet: Broadband connection with Ethernet-based LAN.
? Processor: 1.8GHz upwards (64bit preferable).
? RAM: 4GB upwards.
? Storage: 10GB minimum.
? Resolution: 1920×1080 preferred.
? Headset: Wired USB.
? Operating System: Windows 10 or upwards, Mac OSX 11 or upwards.
If you are a dedicated and compassionate Pharmacy Technician, we encourage you to apply quickly. Training begins in September, and we are eager to welcome you to our team.
Job Types: Full-time, Part-time, Contract
Expected hours: No less than 30 per week
Benefits:
? Opportunities for advancement
? Paid training
? Referral program
? Work from home
Physical Setting:
? Telehealth
Schedule:
? Day shift
? Monday to Friday
? Morning shift
? No weekends
Application Question(s):
? Are you available for an Interview this week?
Experience:
? Pharmacy technician: 4 years (Required)
License/Certification:
? Pharmacy Technician Certification (FL, IN, IL, or WI) (Required)
Work Location: Remote
