Prior Authorization Specialist

  • location: Richardson, TX
  • type: Temporary
  • salary: $14 per hour
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job description

Prior Authorization Specialist

Randstad is currently seeking Prior Authorization Specialists for a Fortune 7 Pharmaceutical Company in Richardson, TX (Zipcode: 75081). Interested candidates should send their resume to kevin.tran@randstadusa.com with the posting job title and location attached to the email along with your contact information. This position is a 3 month Temporary opportunity starting on 10/21/2019 paying $14.00/hour. Interested candidates must be available to the following hours: Mon-Fri; 8 hr shift between 7am to 8pm

Responsibilities:
+ Effectively manage work volume by handling inbound calls/fax requests utilizing appropriate courteous and professional behavior based upon established standards. Sort incoming faxes in compliance with departmental and client requirements.
+ Manage case load of for all clients by researching and triaging incoming fax requests. Use adjudication systems to identify the type of request and create, route, and/or complete appeals or requests in accordance with department processes. Process External Review appeal requests according to federal, client, and state mandated guidelines.
+ Act as a subject matter expert and assists with Coordinator duties dependent upon business needs. Provides support/mentoring to Coordinator staff to solve case processing questions and issues.
+ Seek guidance and collaborate with Pharmacy Technicians, Pharmacists, and other internal partners for timely resolution of issues with case processing.

Working hours: 7:00 AM - 8:00 PM

Skills:
+ Ability to deal with a diverse customer base in a friendly and confident manner (internal and external customers).
+ Proficient with computer systems and Microsoft Office skills, including Access, Excel and Word.
+ Ability to navigate systems in Windows and web-based programs, and quickly learn new applications.
+ Ability to prioritize and manage multiple tasks.
+ Demonstrated sense of urgency with assignments.
+ Excellent organization skills.
+ Strong detail orientation.
Demonstrated problem-solving ability. Strong verbal and written communication skills.

Education:
High School

Experience:
Entry Level

Qualifications:
+ High school/GED or equivalent
+ 1+ years of experience with prior authorization/experience in the claim adjudication process


1. Is the LOCATION commutable for you based on the Zip Code?
2. Do you have 2+ years of call center experience?
3. Would you be interested in a temporary opportunity?
4. Would $14.00 per hour be an acceptable target rate of pay for you?
5. Did you attach your Resume?

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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