Certified Pharmacy Technician

21 hours ago


st louis, United States Apex Systems Full time

Title: Pharmacy Tech

Rate: $18/hr

Location: Remote

Duration: Starting at 6 months


Responsibilities:

  • Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required.
  • Obtain verbal authorizations and request detailed clinical information from prescribers.
  • Approve coverage determination requests based on defined criteria.
  • Enter and document coverage determination request decision into the PBM system and notify providers and/or members.
  • Respond to client inquiries regarding authorization approvals and PBM on-line applications.
  • Refer coverage determination requests for specialty drugs to delegated vendor or client for processing.
  • Contact providers for additional information to facilitate coverage determination reviews.
  • Notify physicians, providers and members of coverage determination request decisions.
  • Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients


Qualifications:

  • High school diploma or equivalent.
  • 1+ years of retail, hospital or mail order pharmacy experience.
  • License/Certification: Current states Pharmacy Technician license and National Certification from Pharmacy Technician Certification Board (CPhT).

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