Opportunity Description
Our Client, a Healthcare company, is looking for a Pharmacy Prior Authorization Technician for their Rochester, NY location.
Responsibilities:
Responsibilities:
- Conducts an initial level medication prior-authorization, exception and medical necessity reviews submitted to the plan to determine coverage under the member’s benefit.
- Routes cases directly to the pharmacist/medical director for final determination, as directed.
- Issues verbal and written member notification as required.
- Reviews and interprets prescription and medical benefit coverage across all lines of business including Medicare D to determine what type of prior authorization review is required, documents any relevant medication history and missing information to assist the pharmacist/nurse/physician in the review process.
- Develops and implements process improvement to increase efficiency in the review process for the clinical staff.
Ready to Apply?
Submit your application for Pharmacy Prior Authorization Technician at ICONMA, LLC
Apply for this Position