Prior Authorization Specialist

Position Title: Pharmacy Technician

Work Location: Cary, NC 27513

Assignment Duration: 2 months (Potential Conversion)

Work Schedule: Monday-Friday - position may vary from 8am-8pm. Hours not decided at this time.

Work Arrangement: Onsite

Position Summary: Recognize and effectively communicate about insurance types and when each type would be utilized. Enter all communication and documentation in the Biologics’ MIS.

Background & Context: Role supports patient services and pharmacy operations for The Organization with potential for permanent conversion.

Key Responsibilities:

• Recognize and effectively communicate about insurance types and when each type would be utilized

• Enter all communication and documentation in the Biologics’ MIS

• Assist with projects, such as yearly reverification

• Communicate with patients to gather appropriate insurance information

• Triage prescriptions to preferred pharmacies or HUB providers when Biologics is unable to serve the patient

• Appropriately process pharmacy claims in Biologics’ MIS

• Recognize and understand pharmacy claim responses

• Manage inbound calls from patients, clients, physicians, and payors regarding patient updates and services provided

• Identify and report adverse events (AEs) and product complaints (PCs) to clinicians

• Manage and reply to internal written communications and requests received via chat or email

• Other related duties as assigned by Supervisor

Qualification & Experience: Pharmacy technician not required but a plus.

Preferred Skills: Pharmacy tech, medical billing, prior authorization.

Applicant Notices & Disclaimers

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At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws.The pay rate for this position is $22.50/hr.