Clinical - Pharmacy Technician 1

3 weeks ago


Tampa, United States Axelon Full time

Location: Fully Remote

SHIFT: 10am-6:30pm EST during training; will change post training with advance notice

Duration: 6 months with potential to extend

Job Description: Summary: The Pharmacy Technician Fulfillment provides assistance in the preparation and distribution of drug products. The Technician is responsible for preparing the prescription medications via use of the fulfillment system. Job Responsibilities: Process prescription exceptions which may include: resolving claim rejects and member and physician outreach. Enter member demographics and prescription information into the data processing system. Research and resolve rejected insurance billing issues and/or escalated member issues. Escalate questions regarding prescription to a Pharmacist for interpretation or provide direction on processing. Assist with inbound and/or outbound patient or physician calls. Other duties as assigned. Skills: Education/Experience: High School diploma. 0 to 2 years of Pharmacy Technician experience. Current Pharmacy Registration and Certification as required by state of operation. Basic computer skills.

Walk me through the day to day responsibilities of this the role and a description of the project:

  • Intake prior authorizations for Buy and Bill Purposes (infusions/injections administered in providers office or outpatient facility).
  • Conducted clinical determination for prior authorization requests from over 50 different insurance plans, accurately, while performing in a faced paced department, that is slowly migrating into a new platform.
  • Expectation is to meet 90% goal in production which equates to approximately 25 tech reviews per 8-hour shift.
Describe the performance expectations/metrics for this individual and their team:
  • Goals are 90% production rate; 95% compliance rate
Internal/External Groups with which the Candidate will interface: Required Skills/Experience: Preferred Skills/ Experience: 1. Pharmacy Technician 1. Managed Care Facility (ie insurance PA Team) 2. 2. CPhT and/or state licensed pharmacy tech - not required, but beneficial for growth opportunities 3. 3. Education Requirement: High School Diplom Education Preferred: Software Skills Required: Critical thinking skills Required Certifications: Required Testing:

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