Job Information

G-TECH Services, Inc. Prior Authorization Specialist in Detroit, Michigan

Engagement Description – This position requires the ability to multitask within a high-volume concierge contact center setting.

Top 3 Required Skills/Experience –

• Ability to process Coverage Determination Requests within CMS Timeframes

• Ability to communicate all pharmacy benefits both verbally and written

• Ability to have strong attention to detail while multitasking within a high demand environment

Required Skills/Experience – The rest of the required skills/experience. Include:

• Minimum 2 years of experience in Pharmacy Retail, PBM, Hospital, Managed Care

• Experience with Microsoft Programs (Outlook, Excel, Word, Access)

• Knowledge of prescription drug names, therapeutic classes and claims processing

• Knowledge of Privacy Regulations

• Pharmacy Technician Certification (PTCB) preferred

Preferred Skills/Experience – Optional but preferred skills/experience. Include:

• Medicare Part D Experience

• Contact Center Experience

• Knowledge of CMS/NCQA regulations

• Knowledge of pharmacy claims processing

Education/Certifications – Include:

• High School Diploma

• 2 years of college preferred

Category Analyst

Function Information Technology

Req ID JN -112022-119271

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