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 email@example.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
+ 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
+ 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.
+ 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?
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