PHARMACY TECHNICIAN
Company: US Tech Solutions
Location: Atlanta
Posted on: October 19, 2024
Job Description:
Location: Fully remote Duration: 12 months contract 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:
- 1-3 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
Keywords: US Tech Solutions, Redan , PHARMACY TECHNICIAN, Healthcare , Atlanta, Georgia
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