Job Description

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: $ 22.00-22.00/ 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

  Other

• Industries

  Hospitals and Health Care and Insurance

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