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Call Center Pharmacy Claims Technician Jobs

Call Center Clinical Pharmacy Technician - Remote
By Prime Therapeutics At , Remote
You will determine appropriateness for medications and communicate decision to physicians, physician`s office staff, medical management staff and/or pharmacists.
For CPTs assigned to work the fax queue, responsibilities will also include:
Must have an active pharmacy technician licensure or registration in accordance with state requirements.
Active Pharmacist license supersedes requirement for CPT and/or PTCB.
Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.
Excellent written and verbal communication skills.
Call Center Clinical Pharmacy Technician (Remote)
By Prime Therapeutics At , Remote
You will determine appropriateness for medications and communicate decision to physicians, physician`s office staff, medical management staff and/or pharmacists.
For CPTs assigned to work the fax queue, responsibilities will also include:
Must have an active pharmacy technician licensure or registration in accordance with state requirements.
In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.
Excellent written and verbal communication skills.
Registered Pharmacy Technician- Prescription Center, Full Time
By UMass Memorial Medical Center At , Worcester, 01655
Proficient in math. Knowledge and ability to use a computer for data entry.
Performs duties in assigned practice area. Required to work in other practice areas, as staffing requires.
Processes orders using pharmacy computer system. Delivers patient medications to medication room areas and stocks automated medication stations (Pyxis machines).
Familiar with pharmacy technology and equipment. Capable of troubleshooting routine technical problems.
Maintains inventory including floor stock medication. Reorders, restocks, and monitors expiration dates of all medications.
High school diploma or equivalent.
Pharmacy Technician (Call Center) - Express Scripts - Remote, Mo, Oh, Az
By The Cigna Group At , St. Louis, 63110

Express Scripts is hiring a Certified Pharmacy Technician (CPhT) with at least one year of experience in a retail pharmacy, Pharmacy Benefit Mangement (PBM) or Health Plan setting. You must be ...

Pharmacy Technician I (Nbmc, On Call)
By Northbay Healthcare At , Fairfield, 94533 $28.23 - $31.13 an hour
Hourly Salary Range $28.23 – $31.13 (Offered hourly rate based on years of experience)
Medical, dental and vision benefits for full and part-time employees and their families. Part-time is 20-39 hours per week
Vacation & Sick Time benefits
To learn more about NorthBay Health's benefits, diversity statement and community please visit https://www.northbay.org/careers/index.cfm
Wages reviewed annually and adjusted to remain competitive
Tax-deferred 403b with a percentage matched by NorthBay Health
Senior Pharmacy Technician Call Center - Remote Tx
By Gainwell Technologies LLC At , , Tx $41,900 - $59,800 a year
2+ years of relevant experience as a pharmacy technician in managed care, insurance, or pharmacy benefit management
Ensure compliance with HIPAA/PHI protocols and requirements.
Complete approval process for straightforward cases, without requiring clinical judgement.
Conduct initial reviews of prior authorization submissions from providers or pharmacies.
Maintain effective communication with providers regarding authorization status and other inquiries.
Handle incoming calls, providing prompt and accurate resolution using available resources.
Virtual Call Center Technician (Police)
By City of Rocky Mount At , Rocky Mount, 27804, Nc $22.08 - $33.12 an hour
KNOWLEDGE, SKILLS AND ABILITIES REQUIREMENTS
Experience working with Records Management Software (RMS) and Computer Aided Dispatch (CAD) police computer software applications.
Utilizes the Agencies Record Management System by looking up information and inputting new information regarding criminal investigations.
Prior experience working in a law enforcement office providing clerical and/or administrative support.
Intermediate or advanced level knowledge of Microsoft Office.
Experience researching criminal justice sensitive information using various police software databases.
Claims Call Center Representative
By Anonymous Content At Atlanta, GA, United States

Are you an experienced call center representative looking for a new challenge? Do you enjoy helping customers and working in a fast-paced environment? If so, we invite you to join our 2023 roster of ...

Claims Call Center Representative
By Progressive Insurance At West Virginia, United States
Work From Home Office Requirements
Two years of post-secondary education or higher
Instead of the above, two years of relevant work experience
Remote office internet connection via DSL or Cable Modem with minimum speed of 10mbps down and 1mbps up
Designated workspace free from noise and other distractions
Computer that is provided to you must be physically connected to the router or modem by a cable (no wireless connection)
Claims Technician Jobs
By BlueCross BlueShield of South Carolina At Florence, SC, United States
No previous work experience required
Strong organizational and analytical skills
Knowledgeable in word processing and spreadsheet applications
Receive, open, sort, and distribute incoming departmental mail or work requests
Check workflow documents to ensure required information is available
Request any missing documentation as needed
Cert Pharmacy Tech-Call Center-Days
By JPS Health Network At , Fort Worth, 76107, Tx
Ensures medication management processes meet all legal and regulatory requirements.
Sterile Compounding Certification accredited by the Accreditation Council for Pharmacy Education (ACPE).
Communicates when products need to be reordered. Manages drug supplies in a cost-effective manner and identifies opportunities to minimize waste.
National certification through National Healthcareer Association (NHA) or Pharmacy Technician Certification Board (PTCB).
Essential Job Functions & Accountabilities:
Tracks prescription orders via pharmacy programs to ensure correct delivery information is given to patients.
Pharmacy Technician / Call Center / Full-Time / Day Shift
By Grady Health System At , Atlanta, 30303, Ga
Basic computer data entry skills preferred and typing approximately 30 wpm
Pharmacy Technician PTCB Certification preferred
Organization and accurate record keeping skills
Equal Opportunity Employer-Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity.
High School Diploma or GED is required
Completed an ASHP accredited pharmacy technician-training program is preferred
Call Center Clinical Pharmacy Technician Remote
By Prime Therapeutics At Baton Rouge, LA, United States
You will determine appropriateness for medications and communicate decision to physicians, physician`s office staff, medical management staff and/or pharmacists.
For CPTs assigned to work the fax queue, responsibilities will also include:
Must have an active pharmacy technician licensure or registration in accordance with state requirements.
In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
Active Pharmacist license supersedes requirement for CPT and/or PTCB.
Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.
Pharmacy Technician - Patient Line Refill Center
By UCHealth At , Aurora, 80045, Co $19.67 - $25.57 an hour
Minimum Required Education: High School diploma or GED.
Tuition and continuing education reimbursement
Full suite of voluntary benefits such as identity theft protection and pet insurance
Refills and maintains automated dispensing systems and/or processes incoming prescriptions. Repackages bulk medications. May be responsible for sterile and non-sterile compounding.
Fills medication carts on a daily basis and/or processes and fills prescription orders.
Prepares orders and maintains inventory for the pharmacy department and/or assists with shelving and stocking of medications
Pharmacy Technician -Call Center- Express Scripts
By The Cigna Group At , St. Louis, 63110, Mo

Minimum of one year of experience in a retail pharmacy, Pharmacy Benefit Management (PBM) or Health Plan setting required

Experience working in a call center preferred

Pharmacy Technician Call Center - Remote (Evening Shift)
By Gainwell Technologies LLC At , , Ar $33,500 - $47,900 a year
2 years of relevant experience as a pharmacy technician in retail pharmacy, hospital pharmacy, managed care, insurance, or pharmacy benefit management
Follow standard operating procedures to receive incoming calls and use learned knowledge and resources to resolve the call on initial contact
Process submitted prior authorization requests within the required time frame mandated by the State client
Completion of approval process for prior authorizations where all criteria is met and clinical judgement of a pharmacist is not required
Complete necessary communication with providers regarding status of their authorization submission or any other inquiries
THIS POSITION IS FOR THE EVENING SHIFT
Pharmacy Support Call Center Representative (Home-Based)
By IQVIA At , Charlotte, Nc $18 an hour
Recognize operational challenges and suggest recommendations to management, as necessary
Call center experience required (3+ years preferred)
Experience in medical claim processing is a plus
Contract Remote Role – Location (Open to Remote US)
Provide initial support for customer requests via telephone, email, fax, or other available means of contact to the Support Center
Quickly assess the user's issue and provides first level support for problem resolution
Claims Call Center Representative
By Progressive Insurance At Reno, NV, United States
Work From Home Office Requirements
Two years of post-secondary education or higher
Instead of the above, two years of relevant work experience
Remote office internet connection via DSL or Cable Modem with minimum speed of 10mbps down and 1mbps up
Designated workspace free from noise and other distractions
Computer that is provided to you must be physically connected to the router or modem by a cable (no wireless connection)
Claims Call Center Representative
By Progressive Insurance At Las Vegas, NV, United States
Work From Home Office Requirements
Two years of post-secondary education or higher
Instead of the above, two years of relevant work experience
Remote office internet connection via DSL or Cable Modem with minimum speed of 10mbps down and 1mbps up
Designated workspace free from noise and other distractions
Computer that is provided to you must be physically connected to the router or modem by a cable (no wireless connection)
Claims Specialist(Call Center)
By VDart At United States
Perform clerical duties, including: data entry, filing paper documents, email, calendar management, and word processing
High School Diploma or equivalent with previous experience in either customer service and/or a professional work environment
Good organization skills with timely follow-up skills
Good oral and written communication skills
Knowledge of Excel and Word
or equivalent with previous experience in either customer service and/or a professional work environment