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Pharmacy Technician

Remote: 
Full Remote
Contract: 
Salary: 
38 - 38K yearly
Experience: 
Mid-level (2-5 years)
Work from: 
Michigan (USA), United States

Offer summary

Qualifications:

High School Graduate or GED required, Two years of college preferred, Two years experience in retail or hospital Pharmacy required, Pharmacy Technician Certification (CPhT) preferred, Knowledge of prescription drug names and claims processing.

Key responsabilities:

  • Answer telephones efficiently for provider assistance
  • Triage prior authorization requests under supervision
  • Analyze and update pharmacy authorizations in claims system
  • Communicate coverage determination status to physicians/members
  • Troubleshoot problems and assist with compliance systems
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1001 - 5000 Employees
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Job description

Title: Pharmacy Technician (Call Center/Help Desk)

Location: Detroit, MI **Remote

Duration: 5month contract with chance of extending or converting to full time.

Role Type: W2 Contract Engagement

Pay Rate: $20/hour

Summary

Department: Pharmacy Help Desk

Support providers (pharmacists and physicians) with Medicare Part D and/or Commercial pharmacy/ specialty drug benefits analysis, drug coverage inquiries and prior authorizations.

Essential Duties And Responsibilities

  • Answer telephones in an efficient and timely manner to lend appropriate assistance to providers
  • Triage prior authorization requests under the supervision of a Clinical Pharmacist.
  • Assists in maintaining pharmacy prior authorization criteria used in the adjudication of pharmacy/specialty claims.
  • Analyzing written inquiries which lends to entry and updating of pharmacy authorizations into the claims system.
  • Communicate coverage determination status to physicians and/or members and effectuate such decisions within the authorization tool.
  • Troubleshoot problems, inquiries, and new processing procedures for coverage determinations.
  • Assist with internal control systems and regulations compliance.

Education And/Or Experience

  • High School Graduate of GED equivalent required. Two (2) years of college preferred.
  • Two (2) years experience in retail or hospital Pharmacy required.
  • Pharmacy Technician Certification (CPhT) preferred.
  • Knowledge of prescription drug names, therapeutic classes and claims processing.
  • Experience with Medicare Part D prescription benefits may be preferred for some positions.

Other Skills And Abilities

  • Expert knowledge of pharmacy claims processing
  • Understanding of formularies and utilization management edits
  • Familiarity with pharmaceutical manufacturers and product/cost information
  • Computer Literate (Microsoft Office Products).

Job ID: JOB-238180

Publish Date: 02 Oct 2024

Tagged as: Pharmacy Technician

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Industry :
Information Technology & Services
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Microsoft Office
  • Verbal Communication Skills
  • Customer Service
  • Problem Solving
  • Analytical Skills

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