Certified Pharmacy Technician - Remote, USA (20)- 11/09

C4 Technical Services; Eagan (MN); Remote; USD 25,000 - 29,000; Full time

Benefits offered by this job

Remote work

Job summary

Prime Therapeutics is seeking a Certified Pharmacy Technician for a 12-month contract with potential extension in a call center environment. You will evaluate and authorize prior authorization requests from prescribers via phone and fax, using client criteria.

Must have retail experience; call center experience is a plus. Remote work option available with weekends required and 40 hours per week, overtime may be required. Must have hard-wired internet.

Qualifications

• Retail experience in a pharmacy or retail setting.
• Call Center experience is a plus.

Responsibilities

• Determines appropriateness for medications and communicates decisions to physicians and staff.
• Documents prior authorization outcomes in the pharmacy system.
• Explains prior authorization criteria, coverage and formulary alternatives to physicians and staff.
• Escalates complex requests to Pharmacist for review or denial.
• Responds to physician or client inquiries and informs management.
• For fax queue CPTs, reviews coverage determinations and communicates within SLA.
• Multitasks across queues and adapts to changing workflow.

Skills

Retail Experience

Call Center Experience

Job description

• Pay Rate: $18.00 to $21.00
• Remote/Work from Home
• Private Work Area Required
• 40 hours per week: Overtime may be required
• Certificate Needed Determined by State
• Must Take Skills Assure
• MUST BE ABLE TO WORK WEEKENDS, HOLIDAYS ARE NOT PAID UNLESS WORKING ON THAT DAY.
• MUST BE ABLE TO WORK AND 8 HOUR SCHEDULE BETWEEN THE HOURS OF 6:00AM AND 10:00PM CENTRAL TIME.
• MUST HAVE HARD WIRED INTERNET - NO WIFI

Prime Therapeutics

Contract - 12 Months - w/extension

Certified Pharmacy Tech

Need is for (45)

Must Haves:

• Retail Experience
• Call Center Experience is a Plus

Job Description Summary

A Certified Technician in a call center evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile (fax) using client clinical criteria in a call center environment.

Job Description

• Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists.
• Research, resolves, and documents prior authorization outcomes in pharmacy system.
• Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.
• Escalates requests to Pharmacist when request requires extensive clinical review or denial.
• Research, resolves, and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider, and/or management.
• Performs other duties as required.
• For CPTs assigned to work the fax queue, responsibilities will also include:
• Clinically reviews coverage determinations with attention to detail, for medications via Fax. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists within SLA (service level agreement) guidelines.
• Efficiently multi-tasks and monitors several queues and assignments. Adapts to team requirements as business needs change (e.g., fax work, pending queues, oral notifications, and failed faxes).