Experienced Remote Pharmacy Technician – Medicare and Medicaid Appeals Specialist with Excellent Communication Skills

Introduction to Actalent and the Role Actalent, a global leader in engineering and sciences services and talent solutions, is seeking experienced and certified Pharmacy Technicians to join their team in a remote capacity. As a Pharmacy Technician in the Appeals department, you will play a critical role in working with Medicare and Medicaid patients, focusing primarily on Medicare cases. Your primary responsibility will involve processing denied Prior Authorizations, reviewing case information, reaching out for additional details, and preparing cases for Pharmacists' final determination. This is an exceptional opportunity for a detail-oriented and customer-focused individual to make a meaningful impact in the lives of patients while working remotely. Key Responsibilities As a Remote Pharmacy Technician, your key responsibilities will include: Processing denied Prior Authorizations by reviewing case information and preparing cases for Pharmacists' final determination Communicating directly with elderly members, addressing their concerns about denied medications, predominantly injectables administered at a doctor's office Making outbound calls per shift to resolve issues and ensure patient satisfaction Working with Medicare and Medicaid patients, focusing primarily on Medicare cases Utilizing computer proficiency to manage case information and communicate with patients and pharmacists Demonstrating strong communication skills, both written and verbal, to effectively address patient concerns and resolve issues Exhibiting problem-solving abilities and attention to detail to ensure accurate and efficient processing of Prior Authorizations Essential Qualifications To be successful in this role, you will need: Pharmacy Technician experience, preferably in a remote or call center environment Prior authorization experience, with a strong understanding of Medicare and Medicaid regulations Insurance verification experience, with the ability to navigate complex insurance claims Customer service skills, with a focus on patient satisfaction and empathy Computer proficiency, with experience using electronic health records and other software applications Ability to work remotely and independently, with minimal supervision Strong communication skills, both written and verbal, with the ability to effectively communicate with patients, pharmacists, and other stakeholders Problem-solving abilities, with attention to detail and a focus on resolving issues efficiently National certification as a Pharmacy Technician, with registration in Indiana, Alabama, Michigan, South Carolina, or North Carolina Preferred Qualifications While not required, the following qualifications are preferred: Experience working with Medicare and Medicaid patients, with a strong understanding of regulations and guidelines Experience with electronic health records and other software applications, with the ability to quickly learn new systems Bilingual or multilingual skills, with the ability to communicate with patients who speak languages other than English Experience working in a fast-paced, dynamic environment, with the ability to prioritize tasks and manage multiple projects simultaneously Skills and Competencies To be successful in this role, you will need to demonstrate the following skills and competencies: Communication skills: The ability to effectively communicate with patients, pharmacists, and other stakeholders, both written and verbal Problem-solving skills: The ability to analyze complex issues and develop effective solutions, with attention to detail and a focus on resolving issues efficiently Customer service skills: The ability to provide exceptional customer service, with a focus on patient satisfaction and empathy Computer proficiency: The ability to quickly learn and navigate new software applications, with experience using electronic health records and other systems Time management skills: The ability to prioritize tasks and manage multiple projects simultaneously, with a focus on meeting deadlines and achieving goals Career Growth Opportunities and Learning Benefits At Actalent, we are committed to the growth and development of our employees. As a Remote Pharmacy Technician, you will have access to: Ongoing training and education, with a focus on developing your skills and knowledge in pharmacy technology and customer service Career advancement opportunities, with the potential to move into leadership or specialized roles A dynamic and supportive work environment, with a focus on collaboration and teamwork Flexible scheduling and remote work options, with the ability to work from the comfort of your own home Work Environment and Company Culture At Actalent, we pride ourselves on our diverse and inclusive work environment. We believe that our employees are our greatest asset, and we are committed to creating a workplace that is welcoming and supportive to all. As a Remote Pharmacy Technician, you will be part of a team that values: Diversity and inclusion: We believe that diversity and inclusion are essential to our success, and we are committed to creating a workplace that is welcoming and supportive to all Collaboration and teamwork: We believe that collaboration and teamwork are essential to achieving our goals, and we encourage open communication and feedback Employee recognition and rewards: We believe that our employees are our greatest asset, and we are committed to recognizing and rewarding their contributions to our success Compensation, Perks, and Benefits As a Remote Pharmacy Technician at Actalent, you will be eligible for a competitive salary and benefits package, including: A competitive salary, with opportunities for bonuses and incentives Comprehensive benefits package, including medical, dental, and vision insurance 401(k) retirement plan, with company match Paid time off and holidays, with flexible scheduling and remote work options Opportunities for career advancement and professional growth, with ongoing training and education Conclusion If you are a motivated and detail-oriented individual with a passion for customer service and pharmacy technology, we encourage you to apply for this exciting opportunity. As a Remote Pharmacy Technician at Actalent, you will have the chance to make a meaningful impact in the lives of patients while working in a dynamic and supportive environment. Don't miss out on this opportunity to join our team and take your career to the next level. Apply now and let's discuss how you can become a vital part of our success story. How to Apply To apply for this position, please contact us at 904 530 5414 or visit our website to submit your application. We look forward to hearing from you and discussing how you can join our team as a Remote Pharmacy Technician. Apply for this job