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Pharmacy Technician

Remote:

Full Remote

Contract:

Fixed term

Work from:

China

Offer summary

Qualifications:

High School Diploma or GED, Certified Pharmacy Technician (CPhT), Associate's degree in Healthcare preferred, Equivalent experience considered.

Key responsabilities:

Set up cases for prior authorization requests
Perform daily quality checks for compliance

US Tech Solutions Human Resources, Staffing & Recruiting Large https://www.ustechsolutions.com/

1001 - 5000 Employees

See more US Tech Solutions offers

Job description

Job Name : Pharmacy Technician
Location : Remote (Preferably from Massachusetts)
Duration : 4 Months Contract (with possible extension)

JOB SUMMARY:
Under the direction of the Supervisor, Pharmacy Utilization Management, the Pharmacy Utilization Management (UM) Technician is responsible for setting up cases in the various applications for drug prior authorization (PA) requests and performs daily quality checks to ensure compliance. The technician will run test claims once authorizations are approved and reach out to members and providers as necessary.

Works with automated prior authorization (PAHub) tools to:

Completes data entry (case setup) from faxes or phone calls.
Performs member eligibility check.
Checks for duplicates and determine if more information is needed.
Reviews case per established protocol to either approve or deny case.
Sends unable to authorized requests to pharmacist review queue.
Reviews items in the manual queue and resolves or forwards accordingly.
Monitors intake queue to ensure all requests are completed within established timeframes.
Enter authorization records (PA) allowing health plan restricted drug to be processed.
Performs and processes test claims to ensure all adjudications are successful.
Follows policies and procedures and workflows in processing pharmacy prior authorization requests, consistent with department policies and procedures, applicable regulatory and accreditation requirements and turnaround times.
Performs other duties and projects as assigned by the Pharmacy Utilization Management Team.

EDUCATION: (Minimum education & certifications required)

High School Diploma or GED
Associate’s degree in Healthcare, Nursing, or a related area or equivalent experience
Certified Pharmacy Technician (CPhT)

About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.
"US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran."