Pharmacy Technician II

Jobtailor; California (MO); On-site; USD 38,000 - 52,000; Full time

Job summary

Jobtailor is seeking a diligent Pharmacy Technician to interpret prescriptions and enter data in a high-volume environment in the United States. You will process prior authorizations, troubleshoot adjudication issues, and provide administrative support to pharmacists to ensure accurate and timely care.

Responsibilities include verifying member information, educating members on formulary rules and benefits, maintaining records, and generating reports on rebates and utilization.

Qualifications

• High school diploma or equivalent with a minimum of 2 years of pharmacy experience or equivalent education.
• Active professional license as required by state law.
• Certification to practice as a Pharmacy Technician within state scope of practice.
• PTCB Certification preferred and pharmacy claim adjudication experience preferred.
• Experience in high-volume, detail-focused positions.

Responsibilities

• Interpret and enter moderately complex prescriptions.
• Process prior authorization requests and troubleshoot adjudication issues.
• Provide administrative support to pharmacists.
• Complete administrative tasks needed by pharmacists.
• Verify member information and input data for pharmacists.
• Educate members on pharmacy rules, prescription resources, and assistance programs.
• Process physician-office prior authorization requests and ensure Medicare compliance.
• Inform relevant parties of prior authorization determinations.
• Resolve grievances and appeals issues.
• Respond to inquiries about formulary and prescription benefits.
• Generate rebate, utilization, Beers Criteria, and monthly reports.
• Maintain records for prior authorizations, rebates, and monthly reports.

Skills

Pharmacy operations

Prior authorization processing

Data entry

Communication skills

Adjudication troubleshooting

Report generation

Education

High school diploma or equivalent

State Pharmacy Technician Certification

PTCB Certification

Tools

Pharmacy software

Job description

• Interpret and enter moderately complex prescriptions
• Process prior authorization requests and troubleshoot adjudication issues
• Provide administrative support to pharmacists
• Complete administrative tasks needed by pharmacists
• Verify member information and input data for pharmacists
• Educate members on pharmacy rules, prescription resources, and assistance programs
• Process physician-office prior authorization requests and ensure Medicare compliance
• Inform relevant parties of prior authorization determinations
• Resolve grievances and appeals issues
• Respond to physician, sales-team, and member inquiries about formulary and prescription benefits
• Generate rebate, physician-utilization, Beers Criteria, Reliance member, and ad hoc reports
• Maintain records for prior authorizations, rebates, and monthly reports

Requirements

• High school diploma or equivalent and a minimum of 2 years of pharmacy experience, or an equivalent combination of education and experience
• Active professional license, if required by state law
• State Pharmacy Technician Certification or National Certification based on applicable state requirements
• Certification to practice as a Pharmacy Technician within the scope of practice in a U.S. state or territory
• PTCB Certification preferred
• Pharmacy claim adjudication experience preferred
• Experience in a high-volume, detail-focused position preferred
• Ability to communicate information clearly and concisely, orally and in writing, in a professional environment
• Strong oral, written, and interpersonal communication skills
• Problem-solving skills
• Facilitation skills
• Analytical skills
• COVID-19 and Influenza vaccination may be required for certain patient/member-facing roles

Core Competencies

Demonstrates expertise in pharmacy operations, including prescription interpretation, prior authorization processing, and compliance with Medicare regulations. Strong communication and problem-solving skills are essential for effectively educating members and resolving inquiries.

Highest-signal resume keywords

• Pharmacy Technician Certification
• Prior Authorization Processing
• Pharmacy Claim Adjudication
• Strong Communication Skills
• Analytical Skills

ATS Optimization Keywords

Hard Skills

• Prescription Interpretation
• Data Entry
• Rebate Generation
• Report Generation
• Adjudication Troubleshooting

Soft Skills

• Problem-Solving Skills
• Interpersonal Communication
• Facilitation Skills

Certifications & Qualifications

• State Pharmacy Technician Certification
• PTCB Certification

Industry Keywords

• Medicare Compliance
• Formulary Benefits
• Grievances and Appeals
• High-Volume Position
• COVID-19 Vaccination