Job Description
About the position Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale.
Join us to start Caring. Connecting. Growing together. As a
Senior Pharmacy PA Appeals Technician, you'll be responsible for answering incoming calls and completing outbound calls to/from patients, physicians and pharmacists while ensuring a high level of customer service and maximized productivity. This role is equally challenging and rewarding. You'll need to work within multiple computer systems simultaneously as you respond to questions or provide specific medication details/clinical information.
It's a fast paced, high-volume environment where our members are counting on us to deliver these important, sometimes life-saving medications in an accurate and efficient manner. If you reside in the state of Maine, you will enjoy the flexibility to telecommute as you take on some tough challenges. Responsibilities • Enter prior authorization and verify appropriate and accurate information • Contact patients, pharmacists and doctor's offices to resolve claims issues • Process prior authorizations (from intake to order completion) • Resolve provider/customer issues; ensuring accurate information is provided Requirements • Active and unrestricted National Certification (PTCB) or ability to obtain licensure within 180 days of employment • Intermediate level of proficiency with computer and Windows PC applications including ability to navigate and learn new and complex computer system applications • Must be 18 years of age or older Nice-to-haves • Pharmacy/prescription data entry experience Benefits • Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution Apply tot his job