Pharmacy Tech I

US Tech Solutions; United States; Remote; USD 35,000 - 55,000; Full time

Job summary

An innovative staffing firm is seeking a dedicated Pharmacy Technician to provide exceptional phone assistance and manage prior authorization processes. This fully remote role involves taking inbound calls, maintaining accurate documentation, and collaborating with pharmacists on clinical inquiries. Ideal candidates will have a background in customer service or call centers, along with a Pharmacy Tech license and PTCB Certification. Join a dynamic team that values professionalism and accuracy while making a significant impact in the healthcare sector. If you're passionate about helping others and thrive in a fast-paced environment, this opportunity is perfect for you.

Qualifications

• 0-2 years of experience in customer service or call center managing high volume calls.
• 6 months of experience in PBM in managed care environments.

Responsibilities

• Manage inbound calls/fax/ePA requests with professional behavior.
• Ensure compliance with all requirements for accurate information processing.
• Communicate determination status with internal groups.

Skills

Prior Authorization

Medicare and Medicaid

Call handling experience

Education

Pharmacy Tech license

PTCB Certification

High School diploma or GED

Job description

Location: Fully remote

Job Description:

• The Pharmacy tech takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process.
• Maintains complete, timely and accurate documentation of reviews.
• Transfers all clinical questions, escalations and judgement calls to the pharmacist team.
• The pharmacy Tech will also assist with other duties as needed to include but not limited to: outbound calls, reviewing and processing Prior Auth’s received via fax and ePA, monitoring and responding to inquiries via department mailboxes and other duties as assigned by the leadership team.

Responsibilities:

• Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards.
• Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.
• Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc).
• Identify and elevate clinical inquiries to the pharmacist team as appropriate.
• Other duties assigned, for example faxes, sorting, email boxes, CAS maintenance, etc.

Experience:

• 0-2 years of experience in customer service or call center environment managing high volume calls.
• 6 months of experience working in PBM on managed care environments.

Skills:

• Prior Authorization
• Medicare and Medicaid
• Call handling experience.

Education:

• Pharmacy Tech license
• PTCB Certification
• High School diploma or GED

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.