A healthcare consulting firm is seeking a Pharmacy Technician to handle prior authorization and exception requests according to Medicare regulations. The ideal candidate will have 2-3 years of pharmacy experience and strong communication skills. Responsibilities include entering prescriptions, resolving issues, and collaborating with pharmacists. This role requires a high school diploma or GED and basic PC skills to succeed in a dynamic environment.
Qualifications
2-3 years of experience in Pharmacy/PBM required.
Minimum one-year related experience in retail, home health or hospital pharmacy required.
Ability to accurately read and interpret prescriptions.
Responsibilities
Process prior authorization and drug benefit exception requests.
Research and correct issues in the overall process.
Read, interpret, and enter prescriptions into the computer system.
Forward questionable prescriptions to a Pharmacist.
Verify patient, address, and medication information.
Skills
Pharmacy / PBM experience
Communication skills
Basic PC skills
Education
High School Diploma or GED
Job description
Work closely with providers to process prior authorization (PA), and drug benefit exception requests in accordance with Medicare Part D Regulations.
Additionally, the rep II will be responsible for research and correction of any issues found in the overall process.
This position is responsible for reading, interpreting, and entering prescriptions into computer system.
Technicians are also responsible for forwarding questionable prescriptions to a Pharmacist, and completing and resolving prescriptions diverted to the clinical intervention area.
Prepare prescriptions according to label provided, while verifying patient, address and medication information.
Technicians also call physicians and health care provider’s offices for prescription clarification, substitutions, and formulary changes on a prescription order.
Operates keyboard and computer screen to enter patient information and prescription information.
May also assist the pharmacist with prescription clarification and / or therapeutic intervention program.
Phone assistance is required to initiate and / or resolve coverage requests.
Ability to read, analyse and interpret general business correspondence, technical procedures and governmental regulations.
Qualifications
Experience / Education:
2-3 year of Pharmacy / PBM experience required
Minimum one-year related experience in a retail, home health or hospital pharmacy required; or equivalent combination of education and experience.
Prior technician experience in a retail or hospital pharmacy preferred.
High School Diploma or GED required.
Ability to write routine correspondence.
Ability to communicate effectively by telephone.
Ability to accurately read and interpret prescriptions.
Basic PC skills required.
Additional Information
All your information will be kept confidential according to EEO guidelines.