Pharmacy PA/Appeals Technician
Company: UnitedHealth Group
Location: Burns
Posted on: September 16, 2023
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Job Description:
Optum is a global organization that delivers care, aided by
technology to help millions of people live healthier lives. The
work you do with our team will directly improve health outcomes by
connecting people with the care, pharmacy benefits, data and
resources they need to feel their best. -Come make an impact on the
communities we serve as we help advance health equity on a global
scale. Here, you will find talented peers, comprehensive benefits,
a culture guided by diversity and inclusion, career growth
opportunities and -your life's best work.SM -
If you reside near -Cheyenne, WY, you'll enjoy the flexibility of a
hybrid-remote position* as you take on some tough challenges.
Primary Responsibilities: - -
Provide pharmacy claims and prior authorization support for
customer inquiries received via the telephone and/or Internet.
Customers include physician's offices, pharmacies, and
patients/caregivers
The pharmacy technician must be able to assess the nature of the
pharmacy claim issue or pharmacy related question and resolve
claims adjudication problems while being professional, courteous,
and efficient
The technician must work together with pharmacists and account
management team to gain understanding of the State of Wyoming
Medicaid Preferred Drug List and Additional Therapeutic Criteria
requirements
Must be able to multi-task using multiple applications to provide
accurate and responsive information to the provider inquiry
Knowledge of both physician-administered medications and pharmacy
claims processing is preferred. Training will be provided
Must be proficient at time management and be able to work
independently and collaboratively as part of a team
What are the reasons to consider working for UnitedHealth Group? -
- Put it all together - competitive base pay, a full and
comprehensive benefit program, performance rewards, and a
management team who demonstrates their commitment to your success.
-Some of our offerings include:
You'll be rewarded and recognized for your performance in an
environment that will challenge you and give you clear direction on
what it takes to succeed in your role as well as provide
development for other roles you may be interested in. -
Required Qualifications: - -
High School Diploma / GED (or higher)
2+ years of experience with / knowledge of medications and pharmacy
claims processing
Wyoming Certified Pharmacy Technician license
Preferred Qualifications: - -
3+ years of Pharmacy Technician experience. Will consider prior
work in an MD office or clinic, call center, or prescription
insurance company
Proven knowledge of Microsoft Office including use of online
collaboration tools such as Teams
Proven knowledge of claims adjudication
*All Telecommuters will be required to adhere to UnitedHealth
Group's Telecommuter Policy. -
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At UnitedHealth Group, our mission is to help people live healthier
lives and make the health system work better for everyone. We
believe everyone-of every race, gender, sexuality, age, location
and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good
health which are disproportionately experienced by people of color,
historically marginalized groups and those with lower incomes. We
are committed to mitigating our impact on the environment and
enabling and delivering equitable care that addresses health
disparities and improves health outcomes - an enterprise priority
reflected in our mission. -
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Diversity creates a healthier atmosphere: UnitedHealth Group is an
Equal Employment Opportunity / Affirmative Action employer and 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. -
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UnitedHealth Group is a drug - free workplace. Candidates are
required to pass a drug test before beginning employment. -
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#RPO, #Yellow
Keywords: UnitedHealth Group, Cheyenne , Pharmacy PA/Appeals Technician, Healthcare , Burns, Wyoming
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