Job description

Our client, a Retail Pharmacy company, is looking for a Pharmacy Tech I for their Remote location.

Responsibilities:

The Tech I Prior Auth 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 Tech I 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, portal requests, monitoring and responding to inquiries via department mailboxes and other duties as assigned by the leadership team.
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.

Requirements:

Candidate should be comfortable utilizing the full MS Office Suite (MS TEAMS, Outlook are required and Word and Excel is helpful)
At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function. (preferred)
The Pharmacy Technician certification is preferred but not required at a state or national level.
Will also consider a Pharm Tech Trainee license.
High-Volume Healthcare Call Center Experience
Minimum 1 year of inbound call center experience
Healthcare, insurance, PBM, pharmacy, medical office, or similar environment preferred
Strong customer service and communication skills
Pharmacy Technician experience strongly preferred
Active Pharmacy Technician License, Certification, or Trainee License preferred
Ability to navigate multiple systems while handling calls
Proficiency with Outlook and MS Teams required
Strong data entry and documentation skills
Minimum (1) year experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position.
At least 6 + mos year experience as a pharmacy technician coordinating activities in an administrative support function.
Advanced computer skills including word processing and spreadsheet utilization.
Excellent customer service skills (written and verbal) a must.
Verifiable High School diploma or GED is required.
Active pharmacy technician license in good standing

Why Should You Apply?

Pharmacy Tech I

Role overview