Remote Pharmacy Technician - Work from Home Opportunity with TalentWorldGroup in Illinois, US - Competitive Salary, Paid Training, and Career Advancement

Revolutionize Your Career as a Remote Pharmacy Technician with TalentWorldGroup! Are you a dedicated and compassionate Pharmacy Technician looking for a new challenge? Do you want to work with a team of bright and motivated people who are passionate about reinventing professional Home-Based Working? Look no further! TalentWorldGroup, a Revolutionary Multilingual Contact Center, is seeking seven Remote Pharmacy Technicians based in the US, preferably from Illinois, to work for a premium client in the medical field. About Us: Think Global - Expect Amazing! TalentWorldGroup is on a mission to build the Workplace of the Future! We're a truly people’s company that values innovation, teamwork, and customer satisfaction. As a Remote Pharmacy Technician, you'll be part of a dynamic team that is committed to delivering exceptional service to our clients. Position Overview This is a fully remote/work-from-home position that provides support to customers in the medical field. As a Remote Pharmacy Technician, you'll play a critical role in ensuring the clinical integrity of pharmaceutical solutions and providing excellent customer service. Key Responsibilities: Review pertinent patient information and check appropriateness using clinical criteria. Make approval recommendations on all services that meet clinical review criteria and refer cases not meeting criteria to pharmacist clinical reviewer. Practice and maintain the principles of utilization management by adhering to company policies and procedures. Uphold clinical integrity of pharmaceutical solutions by participating in ongoing training programs to ensure quality performance in compliance with applicable standards and regulations. Assist with documentation and implementation of both written and verbal communications to physicians/prescribers and maintain edits and data elements that support the edits. Be available for consultation on pharmacy-related questions to resolve claims submission related to medication edits. Contact physicians/prescribers to obtain pertinent clinical history/information. Provide optimum customer service through professional/accurate communication while maintaining NCQA and health plan’s required timeframes. Regularly review and monitor information on pended claims identified as outliers by internal and/or external analysis of pharmacy claims data. Support Intake call volume and order entry if necessary. Determine eligibility for medication reimbursement based upon established clinical criteria and clinical knowledge and enter approvals or denials in the system. Electronically document both written and verbal communications with physicians, their staff, cardholders, and pharmacies. Escalate medical exception requests to nurse, pharmacist, or physician on the utilization review clinical team when further review is necessary. Perform other duties as assigned. Training Program We're committed to your success! Our comprehensive training program includes: Five weeks of paid training starting in September. Fully remote/work-from-home training. $18 Training Hourly Rate. Hourly rate of $20 after completing the training. Requirements: To be successful in this role, you'll need: Certified Pharmacy Technician (Required). Licensed in Florida, Illinois, Indiana, or Wisconsin (Required). Fluent in English (US) (Required). Living in the USA due to HIPAA compliance. 4 to 6 years of supply chain or customer support service experience (Preferred). Pharmacy technician experience: 4 years (Required). Internet and Hardware Requirements: To work effectively from home, you'll need: Internet: Broadband connection with Ethernet-based LAN. Processor: 1.8GHz upwards (64bit preferable). RAM: 4GB upwards. Storage: 10GB minimum. Resolution: 1920x1080 preferred. Headset: Wired USB. Operating System: Windows 10 or upwards, Mac OSX 11 or upwards. What We Offer At TalentWorldGroup, we believe in rewarding our team members for their hard work and dedication. Here are just a few benefits you can expect: Competitive salary benchmarked against industry standards. Opportunities for advancement and career growth. Paid training to help you succeed in your role. Referral program to reward you for bringing in talented team members. Work from home flexibility and autonomy. Work Environment and Company Culture As a Remote Pharmacy Technician, you'll be part of a dynamic and supportive team that values collaboration and innovation. Our company culture is built on the principles of: Teamwork and camaraderie. Continuous learning and professional development. Customer satisfaction and excellence. Diversity and inclusion. Schedule and Work-Life Balance We're committed to helping you achieve a great work-life balance. Here's what you can expect: Day shift. Monday to Friday. Morning shift. No weekends. No less than 30 hours per week. Join Our Team! If you're a dedicated and compassionate Pharmacy Technician looking for a new challenge, we encourage you to apply quickly. Our training program starts in September, and we're eager to welcome you to our team. Don't miss out on this fantastic opportunity to grow your career and be part of a revolutionary company that's shaping the future of work. Apply now and take the first step towards an exciting and rewarding career with TalentWorldGroup! Apply for this job