Job Title: Pharmacy Technician
Duration: 7 months
Timings: M-F with weekend shift on rotation per business needs, 9 am - 5.30 pm
Training schedule 10am -6:30pm EST
Remote
Summary:
• Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required
• Obtain verbal authorizations and request detailed clinical information from prescribers
• Approve coverage determination requests based on defined criteria
• Enter and document coverage determination request decision into the PBM system and notify providers and/or members
• Respond to client inquiries regarding authorization approvals and PBM on-line applications
• Refer coverage determination requests for specialty drugs to delegated vendor or client for processing
• Contact providers for additional information to facilitate coverage determination reviews
Internal/External Groups with which the Candidate will interface: | |||||||
Required Skills/Experience: | Preferred Skills/ Experience: | ||||||
1. | Basic computer skills | 1. | Detail oriented | ||||
2. | Data entry skills | 2. | Knowledgeable with prior authorization request (plus) | ||||
3. | Phone communication skills | 3. | Research | ||||
Education Requirement: | High school or GED | Education Preferred: | High school or GED | ||||
Software Skills Required: | Word / Excel preferred | ||||||
Required Certifications: | RPhT (state registration), CPhT (national certification preferred | Required Testing: | N/A |