Remote Certified Pharmacy Tech – Prior Authorization (Call Center)

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

Job summary

Prime Therapeutics is seeking a Certified Pharmacy Technician for a 12-month contract (with potential extension) to support a call center environment. The role involves evaluating and authorizing prior authorization requests received by phone or fax, using client criteria, and communicating decisions to prescribers and staff.

Must have retail experience; call center experience is a plus. The position requires ability to work weekends; remote/hybrid work from home is available with a private work

Qualifications

• Retail experience required.
• Call center experience is a plus.

Responsibilities

• Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists.
• Researches, 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.
• Researches, 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 guidelines.
• Efficiently multi-tasks and monitors several queues and assignments; adapts to team requirements as business needs change.

Skills

Retail Experience

Call Center Experience

Job description

Prime Therapeutics is seeking a Certified Pharmacy Technician for a 12-month contract (with potential extension) to support a call center environment. The role involves evaluating and authorizing prior authorization requests received by phone or fax, using client criteria, and communicating decisions to prescribers and staff.

Must have retail experience; call center experience is a plus. The position requires ability to work weekends; remote/hybrid work from home is available with a private work