Tech I - Prior Authorization (CVSJP00024879)

This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
Duties
Analyze clinical algorithms and provide decisions regarding PA Requests. Use of online databases and other resources to document appropriate recommendations, clinical decisions and responses. Provide ongoing education on the PA Program to healthcare providers and internal partners. Deliver the highest quality customer service to healthcare providers and internal providers in a high paced dedicated PA program. Ability to deal with a diverse customer base in a friendly and confident manner (internal and external customers). Excellent communication skills (oral, written, grammar, listening). PC Windows experience required. Ability to maintain confidentiality.

About Aerotek: Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services. Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit aerotek.com. Aerotek is acting as an Employment Agency in relation to this vacancy.