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Check with seller Pharmacy Technician - Non Retail Salt Lake City

Published date: April 3, 2022
  • Location: Salt Lake City, Utah, United States

WHO WE ARE

Founded in 1983, Medical Review Institute of America is the market leader for technology-enable utilization management and clinical medical review solutions. We have an outstanding reputation for excellence and achieve continual improvement. At MRIoA we believe our employees are the key to our success. Here you are more than just a cog in the machine – you are a valued member of our family.

WE OFFER

Benefits including healthcare, vision and dental insurances, a generous 401k match, and paid vacation, personal time, and holidays.

Growth and training opportunities.

A team atmosphere with fun events and prizes!

GETTING DOWN TO BRASS TACKS

The Prior Authorization Coordinator position reports directly to the PAC Supervisor. You will provide unbiased opinions on the appropriateness of current treatments based on medical records, national guidelines and plan documents. You will oversee all daily production tasks for incoming prior authorization requests.

Anticipated schedule is five shifts, eight hours a day between Monday - Sunday. Seasonal overtime and weekend on-call hours may be required.

Company headquarters are located in Salt Lake City, but position is remote and relocation is not required.

YOUR JOB RESPONISBILITIES

Process prior authorization requests.
Perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication.
Identify missing information and make prior authorization processing determinations based on clinical protocols and client guidelines (approve, pend, or refer for clinical decision).
Interact with our customers to provide and obtain information and ensure the delivery of outstanding service and quality.
Work with support, relying on instructions, work process guidelines and procedures, and company experience to perform the responsibilities of the job.

YOU ARE

Familiar with medical insurance terminology and processes.

Great at prescription drug terminology.

Inspired to develop relationships and become a trusted adviser to our customers.

Motivated to accomplish tasks and improve your work.

Able to manage situations with precision.

Productive and take ownership of your work.

REQUIREMENTS

High school diploma or equivalent.
Active Certified Pharmacy Technician (Utah or National License). License requirements and Continuing Education costs are reimbursed by MRIoA.
1+ year prior authorization experience preferred.
1+ Health plan or Pharmacy Benefit Manager experience preferred.
Experience with Medicare Part 'D" preferred.

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

MRIoA is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment.

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