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Central California Faculty Medical Group
Fresno, California
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Pharmacy Service Representative Intermediate (Work from home Pennsylvania resident)
Job SummaryGeisinger Health Plan is seeking candidates with strong Pharmacy / Clinical background to join their team providing the best possible customer service to their members. Assists in processing provider and member prior authorization requests. Conducts telephonic outreach requesting more information as well as delivering prior authorization request results.Job DutiesWorks with the Health Plan Pharmacist to resolve clinical issues with providers in a timely manner.Determines appropriateness of pharmacy benefits under corresponding lines of business.Contacts providers and members to communicate the details of service, requests additional information and resolves outstanding matters.Participates in team meetings and workgroup
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