Pharmacy Technician

Target Human Resources Solutions; San Juan (PR); On-site; USD 35,000 - 55,000; Full time

Job summary

Join a leading mental health services provider in Puerto Rico as a Pharmacy Call Center Representative. In this vital role, you will manage telephone communications with pharmacies and healthcare providers, ensuring that pharmacy benefits are clearly communicated and that authorization requests are processed efficiently. Your expertise in pharmacy operations will be essential in documenting interactions and providing support to pharmacy representatives. This position offers an opportunity to contribute to a compassionate healthcare environment while enhancing your professional skills. If you are passionate about customer service and pharmacy practices, this role is perfect for you.

Qualifications

• Active Pharmacy Technician License required for practice in Puerto Rico.
• Completion of an accredited Pharmacy Technician Course.

Responsibilities

• Manage telephone calls from pharmacies and providers regarding pharmacy benefits.
• Document calls and drug requests with complete follow-up history.
• Assist in training pharmacy representatives and ensure compliance with guidelines.

Skills

Telephone Communication

Documentation Skills

Pharmacy Benefits Knowledge

Customer Service

Education

Pharmacy Technician Course

Job description

Company Overview

Our client is a leading group in the provision of mental health services in Puerto Rico, providing services in practices in the health industry, such as telemedicine and home services.

Job Summary

The Pharmacy Call Center Representative manages telephone calls and Prior Authorizations from pharmacies and providers related to pharmacy benefits, authorization requests, and drug use reviews, among others, to ensure that claims are correctly and timely adjudicated.

Responsibilities

1. Answers and manages telephone calls from pharmacies and providers in a timely, confidential, and courteous manner.
2. Documents calls and/or drug requests with complete follow-up history of the patient through electronic records.
3. Provides orientation to pharmacies regarding pharmacy benefits.
4. Performs system overrides (e.g., prior authorization) on the PBM claims processing system to ensure that claims are correctly adjudicated.
5. Assists pharmacy’s claim processing.
6. Assists in the training of pharmacy representatives.
7. Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable.
8. In addition, all other duties are assigned by the manager and/or supervisor.

Requirements

1. Pharmacy Technician Course at an accredited school.
2. Possess an active professional unrestricted Pharmacy Technician License in good standing to practice in Puerto Rico territory.

EEO
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