Coverage Determination-Pharmacy Tech

Descripción del Empleo:
Gather all necessary inform action and supporting documents to comply with MCO requests in order to promptly determine treatment authorization or Dental Contact insurance companies or other payers to complete prior authorization requirements. Identify to co-payment structure and investigate coverage and benefits. Communicating with patients to inform co-payeductible amount and informing about customer’s Patient Assistance Programs (PAP). Referring to PAP as appropriate. Conduct benefit coordination on behalf of patients when applicable. Determinate patient eligibility. Request authorization notifications as needed.
Requisitos:
Associate Degree Diplomas as Certified Pharmaceutical Technician Valid license as Pharmacy Technician
Specialized training in access to pharmacy/medical benefits and requirements (preferred)
Experience in Specialty Pharmacy (Preferred)
Minimum 1-year experience in customer service with knowledge of access processes to the most preferred benefits
1 year of experience in related field (Preferred)
Knowledge in CPR+program (preferred)