Pharmacy Service Representative Intermediate, Geisinger Health Plan (Pennsylvania)
Job SummaryAssists 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 workgroups within the department to achieve improvements within the department.Assists with member, provider and Geisinger Health Plan departments, maneuvering within the
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