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Remote Pharmacy Technician

Work from home Full-time role Hiring

Job Type Full-time... Description CSpring is actively searching for a REMOTE Pharmacy Technician to support our Prior Authorizations team with Indiana Medicaid Rx. This position starts at $16.00 per hour with full benefits, paid holidays, and PTO on day one. CSpring is a woman-owned business based in the Indianapolis metro area. We are proud to be a Best Place to Work in Indiana! CSpring celebrates diversity, equity, and inclusion, and is an equal opportunity employer. • *Please note that this position is only open to Indiana residents.** Our Medicaid Rx Customer Service Center provides advanced inbound customer service for all Indiana Medicaid members and providers who have questions regarding pharmacy coverage and claims processing. As a Pharmacy Technician, you will utilize multi-line phones to respond to inquiries concerning in-network pharmacy locations, general coverage inquiries, and medication pricing. Responsibilities: • Prep, review, and approve/deny requests for prescription prior authorization and/or appeal • Scan, index and prepare documents related to prior authorization and/or appeal request, verifying and updating patient/member profile information • Compile medical notes (disease state, drug treatment history and current drug plan) from patient/provider in support of the request, review request against decision tree and approval protocol, and perform outreach for additional information as needed to support the request • Update approved requests in claims systems and inform patient/provider of approval • Forward applicable requests through additional review path as needed • Ensures Rx denial is communicated to patient/provider along with rationale Requirements • High school diploma • 1-2 years of prior pharmacy experience (retail, LTC, hospital, etc.) • Valid Indiana Pharmacy Technician license • Valid national CPhT certification, or the ability to obtain within six months of hire • Proficiency with computers, software systems, data entry, and Microsoft Office suite • Strong time management, including the ability to organize and manage multiple priorities • Strong customer-orientation • Self-motivated to complete tasks on time • Positive attitude • Excellent interpersonal and communication skills • Dedication to company values: Committed, Collaborative, Consultative, Caring • Ability to pass E-Verify, a criminal background screen, and a pre-employment drug screen • Ability to work overtime as needed to support department goals Preferred Qualifications • Prior experience working with Medicaid and/or with government healthcare • Prior experience working in remote setting • Call center experience • Inbound/outbound call experience in any pharmacy setting Salary Description $16.00/hr Apply Job!

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