Medical Pharmacy Technician

1 week ago


Dallas, Texas, United States CornerStone Staffing Full time
Job Title: Medical Pharmacy Technician

We are seeking a highly skilled Medical Pharmacy Technician to join our team at CornerStone Staffing. As a Medical Pharmacy Technician, you will play a critical role in ensuring the smooth operation of our pharmacy services.

Key Responsibilities:
  • Track and process various pharmacy and medical claim reports to identify current users of specialty drugs.
  • Accurately and efficiently enter claims data in Salesforce.
  • Identify program participants and completes intake preparation by verifying plan eligibility and creating contacts, cases, referrals, and tasks in Salesforce.
  • Submit alternate funding billing and override information to the dispensing specialty pharmacy.
  • Research pharmacy and medical benefits in order to process benefit overrides.
  • Enter (or submit) override details in the PBM claim system and informs the dispensing pharmacy when to reprocess claims.
  • Utilize access to multiple PBM claim systems to identify new members, verify eligibility, enter overrides and investigating claim issues.
  • Verify that PBM claims are processing per implementation guidelines.
Requirements:
  • CPhT or PTCB Certification preferred.
  • Minimum 3+ years of PBM, pharmacy operations, or claims processing experience required.
  • Minimum 2 years of recent dispensing and claims adjudication experience.
  • Strong analytical, planning, organizational, communication, and time management skills.
  • Spanish Bilingual is a plus.
Application Process:
  • Drug testing.
  • Background check.
  • Clerical testing.

Please email your resume to addison.resume@cornerstonestaffing.com and write "Medical Pharmacy Administrator" on the subject line for immediate consideration.



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