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