This range is provided by TekWissen . Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range
$22.00/hr - $22.00/hr
Direct message the job poster from TekWissen
Associate Director | Global Talent Acquisition Leader | DEI & Innovation Advocate
Work Location: Detroit, MI, 48243
Duration: 4+ Months
Job Type: Temporary Assignment
Work Type: Remote
Pay Rate: $ / Hourly
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.
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.
Top 3 Required Skills/Experience:
- 2-4 years Specialty and/or Retail Pharmacy
- Experience in provider/member call center or helpdesk
- Process prior authorization requests
Required Skills/Experience – The rest of the required skills/experience. Include:
- 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.
Preferred Skills/Experience – Optional but preferred skills/experience. Include:
- 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
Education/Certifications – Include:
- High School Graduate of GED equivalent required. Two (2) years of college preferred.
TekWissen Group is an equal opportunity employer supporting workforce diversity.
Seniority level
Seniority level
Associate
Employment type
Employment type
Contract
Job function
Job function
OtherIndustries
Hospitals and Health Care and Insurance
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