Prior Authorization Specialist

KYYBA, Inc

Detroit, MI

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JOB DETAILS

SKILLS

Adjudication, Analysis Skills, Business Services, Claims Processing, Customer Support/Service, Healthcare Providers, Help Desk, High School Diploma, Information Technology & Information Systems, Legal, Medical Terminology, Medicare, Microsoft Office, Pharmacy, Prescription Drugs, Retail, Technical Recruiting

LOCATION

Detroit, MI

POSTED

3 days ago

Job Title: (Prior Authorization Specialist)

About Kyyba:
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.

Job Description

Dept: Pharmacy Help Desk Comm

Will this position be required to work onsite for any reason at any time? Yes, up to 1 day per week.

Engagement Description –
Support major health care payer providers (pharmacists and physicians) with Medicare Part D and/or Commercial pharmacy/ specialty drug benefits analysis, drug coverage inquiries and prior authorizations. High School Graduate of GED equivalent required. Two (2) years of college preferred. Two (2) years' experience in retail pharmacy required. Pharmacy Technician Certification (PTCB) preferred. Knowledge of prescription drug names, therapeutic classes and claims processing.

Top 3 Required Skills/Experience –
• 2 years of retail pharmacy experience
• Computer and Microsoft office experience
• Customer Service

Required Skills/Experience – The rest of the required skills/experience. Include:
• Basic Pharmacy and medical terminology
• Pharmacy claim adjudication experience
• Knowledge of basic drug classes

Preferred Skills/Experience – Optional but preferred skills/experience. Include:
• Certified Pharmacy Technician

Education/Certifications – Include:
• High School Diploma
Location: (Detroit,MI)

Disclaimer:
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 basis covered by appropriate law. Minorities / Females / Protected Veterans / Individuals with Disabilities are encouraged to apply. All employment is decided on the basis of qualifications, merit, and business need.”
It is the policy of Kyyba to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact Kyyba at 248-813-9665

Rewards:
Medical, dental, vision
401k
Term life
Voluntary life and disability insurance
Optional Pre-paid legal plan
Optional Identity theft plan
Optional Medical and dependent FSA
Work-visa sponsorship
Opportunity for advancement
Long-term assignment with opportunity for hire by client

SELECT AWARDS

An INC 5000 company for 10 years
Corp! Michigan Economic Bright Spots
Crain’s Detroit Business Top Staffing Service Companies in Detroit
TechServe Alliance Excellence Award- IT and Engineering Staffing & Solutions
Best of MichBusiness winner in HR Wizards & Partnerships
Metro Detroit Elite Category: Recruitment, Selection & Orientation for 101 Best & Brightest
101 Best & Brightest Companies to Work for in Michigan

About the Company

KYYBA, Inc

Kyyba group of companies are privately held and specialize in staff augmentation, application software and project solutions. In operation for more than 15 years, we have earned an enviable track record and reputation within all the industries we serve. Our unique processes and maturity enables us to understand the needs of the business organizations and provide business solutions that match the real and compelling needs of our customers.

Headquartered in Michigan, Kyyba has multiple office locations and we serve local, regional and national client base consisting of Fortune 500 and middle market companies. Kyyba extends the above solutions and services to a broad spectrum of industry verticals ranging from automotive, insurance, technology, financial, transportation, government and so on.

COMPANY SIZE

100 to 499 employees

INDUSTRY

Staffing/Employment Agencies

FOUNDED

1998

WEBSITE

http://www.kyyba.com/