Prior Authorization Specialist

Job Description

Job Description

Engagement Description
This Role is within a remote contact center. We service major health care payer Medicare Part D Members and Providers. Our goal is to handle inbound mail related to M3P program, as well as Member and Provider inquiries concerning benefits and coverage determinations. Our timeframes are extremely tight (urgent 24 hours, standard 72 hours).

Work Hours
• Monday thru Friday 8:30am and as late as 5pm in office days. On-site on a rotational basis. Schedules are subject to change based on business needs. Help desk is opened Mon. – Fri. 8AM to 6PM.
• Peak Season Oct. to Mar.
• Schedules are based on seniority and company needs

Top 3 Required Skills/Experience
• Retail Pharmacy experience – at least 2 years
• Good computer skills (Typing, outlook, excel, etc)
• Good fundamental knowledge of drug names and drug classes

Required Skills/Experience
• Exceptional Customer Service
• Detail Oriented
• Ability to multi-task
• Willingness to accept change

Preferred Skills/Experience
• Call center experience
• CMS knowledge

Education/Certifications
• CPhT preferred (Certified Pharmacy Tech licensed) Company Description

Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.

At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.

Kyyba is an Equal Opportunity Employer.

Kyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other b

Company Description

Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.\r\n\r\nAt Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.\r\n\r\nKyyba is an Equal Opportunity Employer.\r\n\r\nKyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other b