Easter Seals Jobs

JOB REQUIREMENTS: Job Summary: The Pharmacy Technician II is responsible for data entry and review of submitted authorization requests, providing assistance to providers or pharmacies calling for assistance, and ensuring resolution for escalations received in the pharmacy department. Essential Functions: Review traditional and specialty medication prior authorization requests for the member\'s pharmacy benefit submitted by providers Send fax communications to providers when necessary Contact provider offices to follow up on failed faxes Educate CareSource providers about resources outlining formulary alternatives Place prior authorizations for when approval is appropriate in the prior authorization system(s) Initiate process for routing prior authorizations requiring review by a pharmacist Answer calls from providers regarding prior authorization requests prescription coverage and formulary issues in a timely manner Perform outbound calls to obtain information from providers and/or pharmacies Document all telephonic interaction in appropriate system(s) Ensure all methods of inquiries (fax, e-mail, ePA) and submissions are answered with in the state mandated period Involvement in special projects reviewed by the management team when needed Answer calls and troubleshoot issues from retail and specialty pharmacies Assist Case Managers, Member and Provider Services with pharmacy issues, overrides, and questions Maintain awareness of current workload aging and respond with appropriate sense of urgency Maintain knowledge and understanding of all processes and procedures for all markets on faxes and phones Adhere to all departmental and company policies and procedures Perform any other job duties as requested Education and Experience: High School Diploma or equivalent years relevant work experience is required Three (3) years retail pharmacy or hospital pharmacy experience is preferred One (1) year managed care prior authorization experience is preferred Competencies, Knowledge and Skills: Computer proficient with knowledge in a \"Windows\" environment Beginners level Microsoft Word, Outlook, and Excel Must type 40 words per minute (WPM) Professional level telephone communication skills Familiarity with medical terminology Familiarity with medication names Excellent communication skills when speaking to providers offices, as well as pharmacies Ability to work independently and within a team environment Ability to train/teach new employees within the department Attention to detail Familiarity of the healthcare field Knowledge of... For full info follow application link. CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/72D0850BD25F4905