JOB TITLE: Prior Authorization Specialist
LOCATION: Detroit, MI
Type: W2 Contract, Potential for Direct
Engagement Description – This Pharmacy Technician Role is within a remote contact center. We service Blue Cross Blue Shield of Michigan and Blue Cross Network Medicare Part D Members and Providers. Our goal is to handle inbound mail related to M3P program, as well as Member and Provider inquiries concerning benefits and coverage determinations. Our timeframes are extremely tight (urgent 24 hours, standard 72 hours).
Work Hours
Monday thru Friday 8am and as late as 6pm in office days. On-site on rotational basis. Schedules are subject to change based on business needs. Help desk is opened Mon. – Fri. 8am to 6pm.
Peak Season Oct. to Mar.
Schedules are based on seniority and company needs
Top 3 Required Skills/Experience – The most important must-have skills.
Retail Pharmacy experience – at least 2 years
Good computer skills (Typing, outlook, excel, etc)
Good fundamental knowledge of drug names and drug classes
Required Skills/Experience – The rest of the required skills/experience. Include:
Exceptional Customer Service
Detail Oriented
Ability to multi-task
Willingness to accept change
Preferred Skills/Experience – Optional but preferred skills/experience. Include:
Call center experience
CMS knowledge
Education/Certifications – Include:
CPhT preferred (Certified Pharmacy Tech licensed)