Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. As one of the largest pharmacy benefits managers in the United States, UnitedHealth Group provides a professional culture where you're empowered and encouraged to exceed the expectations of our members, with better schedules than retail and more reach than any hospital. Join us and start doing your life's best work.Positions in this function perform various duties related to the pharmacy prior authorization process. Interprets physician's letters of medical necessity, inputs and retrieves prescription information from computer system. Consults with customers, patients, pharmacists and / or physicians regarding use of medications and formulary alternatives. Reviews and approves / pends requests for prescription authorizations. Positions in this function perform various duties related to the fulfillment of prescription orders. Interprets physicians' prescriptions and creates order, accesses, inputs, and retrieves prescription information from computer system, verifies whether order is reimbursable. Dispenses any or all of the following: unit doses, specialty pharmaceuticals and injectables; may compound medications. Consults with customers, patients and / or physicians regarding use of medications and potential drug interactions. Consultations may be telephonic or in person. Reviews and approves / denies requests for prescription prior authorizations. Primary Responsibilities:Enter prescriptions and verifying appropriate information Contacting patients, pharmacists and doctor's offices to resolve claims issues Process prescriptions (from intake to order completion) Resolve customer issues; ensuring accurate information is providedConsistently meet established productivity, schedule adherence, and quality standards while maintaining a good attendance recordExtensive work experience within own functionWork is frequently completed without established proceduresWorks independentlyMay act as a resource for othersMay coordinate others' activities
Required Qualifications: High School Diploma / GEDNational Pharmacy Technician License 4+ years of Pharmacy related experience requiredModerate proficiency with Windows PC applications, which includes the ability to learn new and complex computer system application The standing schedule will be 3:00pm-11:30pm within your respective time zone. Must be available to work from 8:00am-4:30pm CST for approximately 4 weeks during trainingSoft Skills:Ability to remain focused and productive each day though tasks may be repetitivePhysical Requirements and Work Environment:Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods of close vision looking at a computer monitorService center environment with moderate noise level due to Representatives talking, computers, printers, floor activityCareers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, Military families and Veterans wherever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work. 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.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Keywords: Insurance, customer service, customer service representative, claims, appeals, call center, phone support, dispute resolution, healthcare, UnitedHealthcare, UnitedHealth Group, Oputm, OptumRX, pharmacy, pharmacy technician, prescription, RX, Pharm Tech, Licensed Pharm Tech, Pharmacy Clerk, Pharm Clerk
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.