Remote Pharmacy Technician (US - Illinois)

About Us: Think Global - Expect Amazing! TalentWorldGroup is a Revolutionary Multilingual Contact Center. We are a truly people’s company, and we are on a mission to reinvent professional Home-Based Working and build the Workplace of the Future! Position Overview: We are seeking seven Remote Pharmacy Technicians based in the US, licensed in preferably from Illinois , to work for a premium client in the medical field. This is a fully remote/work-from-home position providing support to customers. Key Responsibilities: • Review pertinent patient information and check appropriateness using clinical criteria. • Make approval recommendations on all services that meet clinical review criteria. Refer all cases not meeting clinical criteria to pharmacist clinical reviewer. • Practice and maintain the principles of utilization management by adhering to company policies and procedures. • Uphold clinical integrity of pharmaceutical solutions by participating in ongoing training programs to... ensure quality performance in compliance with applicable standards and regulations. • Assist with the documentation and implementation of both written and verbal communications to physicians/prescribers and assist in the maintenance of the edits and data elements that support the edits. • Be available for consultation on pharmacy-related questions to resolve claims submission related to medication edits. • Contact physicians/prescribers to obtain pertinent clinical history/information. • Provide optimum customer service through professional/accurate communication while maintaining NCQA and health plan’s required timeframes. • Regularly review and monitor information on pended claims identified as outliers by internal and/or external analysis of pharmacy claims data. • Support Intake call volume and order entry if necessary. • Determine eligibility for medication reimbursement based upon established clinical criteria and clinical knowledge and enter approvals or denials in the system. • Electronically document both written and verbal communications with physicians, their staff, cardholders, and pharmacies. • Escalate medical exception requests to nurse, pharmacist, or physician on the utilization review clinical team when further review is necessary. • Other duties as assigned. Training Program: • Five weeks of paid training starting in September. • Training is fully remote/work-from-home. • $18 Training Hourly Rate. • Hourly rate of $20 after completing the training. Requirements: • University Degree - Certified Pharmacy Technician (Required). • Licensed in Florida, Illinois, Indiana, or Wisconsin (Required). • Fluent in English (US) (Required). • Living in the USA due to HIPAA compliance. • 4 to 6 years of supply chain or customer support service experience (Preferred). Internet and Hardware Requirements: • Internet: Broadband connection with Ethernet-based LAN. • Processor: 1.8GHz upwards (64bit preferable). • RAM: 4GB upwards. • Storage: 10GB minimum. • Resolution: 1920x1080 preferred. • Headset: Wired USB. • Operating System: Windows 10 or upwards, Mac OSX 11 or upwards. If you are a dedicated and compassionate Pharmacy Technician, we encourage you to apply quickly. Training begins in September, and we are eager to welcome you to our team. Job Types: Full-time, Part-time, Contract Expected hours: No less than 30 per week Benefits: • Opportunities for advancement • Paid training • Referral program • Work from home Physical Setting: • Telehealth Schedule: • Day shift • Monday to Friday • Morning shift • No weekends Application Question(s): • Are you available for an Interview this week? Experience: • Pharmacy technician: 4 years (Required) License/Certification: • Pharmacy Technician Certification (FL, IN, IL, or WI) (Required) Work Location: Remote Apply Job!