Pharmacy Technician Specialist
5 days ago
We are seeking a highly skilled Pharmacy Technician to join our team at Strategic Staffing Solutions. As a Pharmacy Technician, you will play a critical role in supporting our pharmacy help desk team in providing exceptional service to our clients.
Key Responsibilities- Answer telephones and provide assistance to providers in a timely and efficient manner
- Triage prior authorization requests under the supervision of a Clinical Pharmacist
- Assist in maintaining pharmacy prior authorization criteria used in the adjudication of pharmacy/specialty claims
- Analyze written inquiries and update pharmacy authorizations into the claims system
- Communicate coverage determination status to physicians and/or members and effectuate such decisions within the authorization tool
- Troubleshoot problems, inquiries, and new processing procedures for coverage determinations
- Assist with internal control systems and regulations compliance
- High School Graduate or GED equivalent required
- Two (2) years of experience in retail or hospital Pharmacy required
- Pharmacy Technician Certification (PTCB) preferred
- Knowledge of prescription drug names, therapeutic classes, and claims processing
- Experience with Medicare Part D prescription benefits may be preferred for some positions
- Expert knowledge of pharmacy claims processing
- Understanding of formularies and utilization management edits
- Familiarity with pharmaceutical manufacturers and product/cost information
- Computer Literate (Microsoft Office Products)
JOB-237924
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