Job Overview
Employment Type
Hourly
Full-time
Compensation
Type:
Hourly
Rate:
Range $18.50 - $26.75
Work Schedule
Flexible
On-call
Weekend Shifts
Benefits
Paid Time Off
Medical insurance
Dental Insurance
Vision Insurance
Life insurance
401(k) savings plan
Employee stock purchase plan
Education Reimbursement
Employee Discounts
Employee assistance program
Employee Referral Bonus Program
voluntary benefits
Job Description
Optum, a global health services organization under UnitedHealth Group, excels in delivering care empowered by technology to improve the health outcomes of millions worldwide. It focuses on connecting people with essential healthcare services, pharmacy benefits, data, and resources to enable them to live healthier lives. With a mission centered on advancing health equity and fostering a culture of diversity and inclusion, Optum offers comprehensive benefits, career development opportunities, and a supportive environment. The organization champions employee safety, well-being, and professional growth while sustaining strong community impact through equitable and transparent healthcare practices.
The role of Senior Pharmacy PA/Appeals Techni... Show More
The role of Senior Pharmacy PA/Appeals Techni... Show More
Job Requirements
- Currently located in the state of Wyoming
- Ability to work any shift from 5:00 AM to 12:00 AM including overtime and weekends
- Willingness to participate in a rotating on-call schedule every 3 weeks for 7 consecutive days
- Active and unrestricted pharmacy technician license in Wyoming
- Pharmacy Technicians Certification Board (PTCB) or ExCPT certification
- 6+ months of relevant healthcare customer service experience
- Basic proficiency with Microsoft Office applications
- Access to home internet and a secure workspace
- Ability to use PC including mouse and keyboard navigation
Job Qualifications
- Active and unrestricted pharmacy technician license in the state of Wyoming
- Active and unrestricted Pharmacy Technicians Certification Board (PTCB) OR ExCPT certification with National Healthcareer Association (NHA)
- 6+ months of experience in customer service or customer relations with healthcare professionals
- Basic proficiency with Microsoft Excel, Word, and Outlook
- Strong communication skills, both written and oral
- Ability to follow through on tasks
- Knowledge of call center systems such as CMS, IEX, CTI, and TCS preferred
Job Duties
- Manages a high volume of inbound and outbound calls averaging 50+ daily
- Answers prior authorization inquiry calls and resolves formulary and benefit issues
- Processes prior authorizations through multiple computer systems ensuring accuracy and compliance
- Resolves issues and complaints in a timely manner
- Handles inbound phone requests and gathers member data for pharmacist consultations
- Performs clinical reviews for authorization requests in accordance with legal and contractual requirements
- Documents interactions per contractual and regulatory standards
Job Qualifications
Experience
Mid Level (3-7 years)
Job Location
We didn't receive the exact location for this job posting,
please contact the employer.
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