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Pharmacy Technician Med D Biller, Dayshift - Arlington, TX

Dallas, TX
RPh on the Go Pharmacy - Pharmacy Technician Contract To Hire 29 days ago Apply

RPH on the go is looking for motivated and detail-oriented Pharmacy Technician Med D Billers to work at a Clinical Hub Center. This role involves managing claims, insurance billing, and providing support for prior authorization processes, ensuring seamless communication between facilities, plans, and providers.

Job Title: Pharmacy Technician Med D Biller
Location: Clinical Hub Center Call Center
Schedule: Monday - Friday, 9:00 AM - 5:30 PM

Key Responsibilities:

  • Act as a resource for facilities by obtaining and completing necessary documentation and following up on claims.
  • Understand insurance and Medicaid formularies, including prior authorization processes.
  • Make outbound calls to facilities, plans, and physician offices to secure approvals.
  • Resolve customer issues in collaboration with Pharmacy Directors, Client Billing Service Offices, and prescription drug plans.
  • Meet productivity goals related to calls/claims per hour as set by leadership.
  • Provide clinical support for prior authorization concerns and submissions.
  • Adhere to company policies, federal and state laws, and professional standards.
  • Understand the claim adjudication and billing processes and insurance workflows.
  • Use Microsoft Office programs proficiently, including Excel.

    Education:

  • Required: High School Diploma, Associates Degree.
  • Desired: Certified Pharmacy Technician (CPhT) or Medical Assistant Certification, Bachelor's Degree.

    Experience:

  • Required:
  • Third-party medical billing experience.
  • Knowledge of EMAR systems.
  • Desired:
  • 1-3 years of pharmacy experience.
  • 3 years of call center experience.

    Skills:

  • Strong data entry and research skills.
  • Experience with insurance processes, prior authorizations, and Medicaid formularies.
  • Ability to type at least 40 WPM.
  • Proficiency in Microsoft Office programs, especially Excel.
  • Effective time management to meet daily and competing deadlines.

    How to Apply:
    If you meet the qualifications and are interested in this opportunity, please contact Jeff at 847-588-7478 or email your resume to [email protected].

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