Job Summary:
The Tech I Prior Auth. takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accuratedocumentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team.
The Tech I will also assist with other duties as needed to include but not limited to:
outbound calls, reviewing and processing Prior Auth's received via fax and ePA, monitoring and responding to inquiries via department mailboxes and other duties as assigned by the leadership team.
Responsibilities:
Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards. 40%
Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers. 40%
Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc.). 10%
Identify and elevate clinical inquiries to the pharmacist team as appropriate. 5%
Other duties assigned, for example faxes, sorting, email boxes, CAS maintenance, etc. 5%
Experience:
Preferred 0-3 years work experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position.
Education:
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit *** ( .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Receive real-time job alerts and never miss the right job again
US - KY - KY - Grayson
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Cadiz
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Columbia
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Hazard
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Mount Sterling
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Bowling Green
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Bardstown
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Elizabethtown
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Henderson
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Alexandria
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Richmond
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Greenville
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Georgetown
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Lebanon
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Versailles
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Ft Mitchell
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Louisville
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Murray
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Fort Thomas
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Franklin
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Shelbyville
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Shepherdsville
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Manchester
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Ashland
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Danville
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Williamsburg
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...
US - KY - KY - Prospect
January 18, 2025
Various Home Time and Sign-On Bonuses Available In Select Areas. • Company Driver Benefits: • Home time varies per locationOpportunities may be available with SIGN-ON BONUSES in Select Areas!Newer equipment averaging 18 MonthsConvenient Home-Base TerminalsHealth, Dental & Vision...