HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description:

• Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required
• Obtain verbal authorizations and request detailed clinical information from prescribers
• Approve coverage determination requests based on defined criteria
• Enter and document coverage determination request decision into the PBM system and notify providers and/or members
• Respond to client inquiries regarding authorization approvals and PBM on-line applications
• Refer coverage determination requests for specialty drugs to delegated vendor or client for processing
• Contact providers for additional information to facilitate coverage determination reviews
• Notify physicians, providers and members of coverage determination request decisions

• Nationally Certified Pharm Tech ( PTCB)
• STRONG work ethic
• 2+ year retail, hospital, or mail order experience
• PBM or prior auth experience preferred BUT not required
  

Hours for this Position:

• Monday - Friday, must be flexible to work one rotational Saturday shift
• Shifts vary between 8am - 9pm

Advantages of this Opportunity:

• Competitive salary, $13/hr - $14.50/hr, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment
  

If you are interested in applying to this position, please contact Suheyn at (407) 478-0332 ext. 112 and click the Green I’m Interested Button to email your resume!