You might also like
in Des Plaines, IL
$29est. per hour Feldco • 2d agoUrgently hiring 1.1 mi Use left and right arrow keys to navigate
$29est. per hour SYSCO • 2d agoUrgently hiring 11 mi Use left and right arrow keys to navigate- $28.60 - $41.15
Verified per hour WALGREENS • 2d agoExcellent pay Urgently hiring 16.2 mi Use left and right arrow keys to navigate 
$19est. per hour WALGREENS • 30d agoUrgently hiring 17.4 mi Use left and right arrow keys to navigate- $17
est. per hour Takeda Pharmaceutical • 2d agoUrgently hiring 4.4 mi Use left and right arrow keys to navigate
Pharmacy Technician - Claims Initiation
About this job
Position Summary
Omnicare, Inc. is a wholly owned subsidiary of CVS Health Corporation.
What We Do
Directly, and through our subsidiaries,Omnicare provides a broad array of pharmacy-related services to long term care facilities and to other customers in the health care environment. While senior care has long been an Omnicare specialty, we also serve other targeted populations.
Overview: Do you love working in a fast-paced and dynamic environment? Are you passionate about helping others? Here at Omnicare Inc. we have a real passion for helping both our customers and our employees. We believe the role of Claims Associate will present you with such an opportunity, as you will be responsible for the timely and accurate distribution of phone calls and documents, as well as document storage. You will research prior authorization (PA) requirements and gather all information needed in a timely manner. You will collaborate with CIC staff, pharmacy staff,nursing facility staff and physician offices to ensure timely payment of online submission of claims. You will also follow-up on all prior authorizations that have been sent to the insurer for review.
Shift: 8A - 4:30P, Monday - Friday; including every 5th weekend. Plus 1 Major holiday per year.
Key Responsibilities:
- Triage all incoming phone calls and faxes.
- Scan, file and electronically store all prior authorizations and other CIC related documentation.
- Work rejected real-time claims for all pharmacies supported by the CIC under the direction of the CIC pharmacists.
- Work with local pharmacies to meet run times and ensure timely dispensing of medications.
- Work with facility staff to gather pertinent information needed to secure overrides/prior authorizations.
- Initiate Prior Authorizations as directed by a CIC pharmacist or Clinical Specialist.
- Fax and electronically submit completed prior authorizations to insurance plans for review.
- Call insurance plans to follow-up on submitted prior authorizations.
- Communicate to the Supervisor staff and then escalate to the Claims Manager any changes in prior authorization criteria or issues related with various insurance plans and processors.
- Work backlog of rejects as appropriate.
- Follow all applicable government regulations including HIPAA.
- Display behavior which exemplifies employee code of conduct guidelines.
Position Summary
Omnicare, Inc. is a wholly owned subsidiary of CVS Health Corporation.
What We Do
Directly, and through our subsidiaries,Omnicare provides a broad array of pharmacy-related services to long term care facilities and to other customers in the health care environment. While senior care has long been an Omnicare specialty, we also serve other targeted populations.
Overview: Do you love working in a fast-paced and dynamic environment? Are you passionate about helping others? Here at Omnicare Inc. we have a real passion for helping both our customers and our employees. We believe the role of Claims Associate will present you with such an opportunity, as you will be responsible for the timely and accurate distribution of phone calls and documents, as well as document storage. You will research prior authorization (PA) requirements and gather all information needed in a timely manner. You will collaborate with CIC staff, pharmacy staff,nursing facility staff and physician offices to ensure timely payment of online submission of claims. You will also follow-up on all prior authorizations that have been sent to the insurer for review.
Shift: 8A - 4:30P, Monday - Friday; including every 5th weekend. Plus 1 Major holiday per year.
Key Responsibilities:
- Triage all incoming phone calls and faxes.
- Scan, file and electronically store all prior authorizations and other CIC related documentation.
- Work rejected real-time claims for all pharmacies supported by the CIC under the direction of the CIC pharmacists.
- Work with local pharmacies to meet run times and ensure timely dispensing of medications.
- Work with facility staff to gather pertinent information needed to secure overrides/prior authorizations.
- Initiate Prior Authorizations as directed by a CIC pharmacist or Clinical Specialist.
- Fax and electronically submit completed prior authorizations to insurance plans for review.
- Call insurance plans to follow-up on submitted prior authorizations.
- Communicate to the Supervisor staff and then escalate to the Claims Manager any changes in prior authorization criteria or issues related with various insurance plans and processors.
- Work backlog of rejects as appropriate.
- Follow all applicable government regulations including HIPAA.
- Display behavior which exemplifies employee code of conduct guidelines.
Preferred Qualifications
- Minimum of 6 months to one year full-time Pharmacy experience preferred.
- Certified Pharmacy Technician
Required Qualifications
- High School degree or equivalent.
- Proficient in data entry and Microsoft Office programs.