Prior Authorization Specialist

KYYBA, Inc

Detroit, MI

JOB DETAILS
SKILLS
Adjudication, Analysis Skills, Certified Pharmacy Technician (CPhT), Claims Processing, Customer Support/Service, Healthcare Providers, Help Desk, High School Diploma, Medical Terminology, Medicare, Microsoft Office, Pharmacy, Prescription Drugs, Retail
LOCATION
Detroit, MI
POSTED
1 day ago
Dept: Pharmacy Help Desk Comm

Will this position be required to work onsite for any reason at any time? Yes, up to 1 day per week.

Engagement Description
Support major health care payer providers (pharmacists and physicians) with Medicare Part D and/or Commercial pharmacy/ specialty drug benefits analysis, drug coverage inquiries and prior authorizations. High School Graduate of GED equivalent required. Two (2) years of college preferred. Two (2) years' experience in retail pharmacy required. Pharmacy Technician Certification (PTCB) preferred. Knowledge of prescription drug names, therapeutic classes and claims processing.

Top 3 Required Skills/Experience
" 2 years of retail pharmacy experience
" Computer and Microsoft office experience
" Customer Service

Required Skills/Experience The rest of the required skills/experience. Include:
" Basic Pharmacy and medical terminology
" Pharmacy claim adjudication experience
" Knowledge of basic drug classes

Preferred Skills/Experience Optional but preferred skills/experience. Include:
" Certified Pharmacy Technician

Education/Certifications Include:
" High School Diploma

About the Company

K

KYYBA, Inc

Kyyba group of companies are privately held and specialize in staff augmentation, application software and project solutions. In operation for more than 15 years, we have earned an enviable track record and reputation within all the industries we serve. Our unique processes and maturity enables us to understand the needs of the business organizations and provide business solutions that match the real and compelling needs of our customers.

Headquartered in Michigan, Kyyba has multiple office locations and we serve local, regional and national client base consisting of Fortune 500 and middle market companies. Kyyba extends the above solutions and services to a broad spectrum of industry verticals ranging from automotive, insurance, technology, financial, transportation, government and so on.

COMPANY SIZE
100 to 499 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
1998
WEBSITE
http://www.kyyba.com/