Job Details

Overview:

TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.

Title: Pharmacy Technician

Work Location: Detroit, MI, 48243

Duration: 4+ Months

Job Type: Temporary Assignment

Work Type: Remote

Dept: Medicare Pharmacy Opera

Engagement Description:

• PA Specialist in Pt B Pharmacy will support Client and BCNA providers (physicians and other healthcare providers rendering medical care) with Medicare Part B drug coverage inquiries, and prior authorizations.

• 2-4 years Specialty and/or Retail Pharmacy
• Experience in provider/member call center or helpdesk
• Process prior authorization requests

• Knowledge of specialty prescription drug names, NDC drug codes, therapeutic classes and claims processing preferred
• Call Center or Helpdesk experience. Ability to communicate effectively with providers and members.
• Analyzing written, faxed, and verbal inquiries which may lead to entry of medical authorizations into the online provider facing webtool.

• Prior Authorization on Pt B specialty medications
• Knowledge or pricing NOC drugs
• Familiarity with Medicare Guidelines and Timeframes
• Knowledge of pharmacy and/or medical claims processing
• Proficient in Microsoft Office Products

• High School Graduate of GED equivalent required. Two (2) years of college preferred.
• Pharmacy Technician Certification (PTCB) preferred