Job Information
Actalent Pharmacy Technician in Raleigh, North Carolina
Description:
Day to day includes census (skilled nursing facilities and making sure reports are updated) and admissions, adjudication of all claims from pharmacy, customer service, working with prior authorizations, also has skilled business so billing on that as well (Medicaid and managed care)
Hybrid billing department
Adjudication of claims for pharmacy
Census; PA, insurance authorizations
Skilled business; billing and doing census for Medicaid part A and then managed care
Mixture of inbound and outbound of calls
Family members, nurses, Med tech
Previous Experience:
Prefer to come from the pharmacy, they need the knowledge of the medication to understand the backside of the business. Retail candidate have been more successful. Would like a min of 1 years of experience
Skills:
claims adjudication, Pharmacy, Data entry, Customer service, Prior authorization, Retail pharmacy, Call center, Insurance, Pharmacy technician certification, Cpht
Additional Skills & Qualifications:
Would prefer to have FrameWork exp, but not necessary
Soft Skills:
Attention to detail
Multitask
Being able to work independently
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
Hiring diverse talent
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.