Pharmacy Technician I
4 weeks ago
As a Pharmacy Technician I at Spectraforce Technologies, you will play a crucial role in ensuring the smooth operation of our pharmacy services. Your primary responsibility will be to track and triage coverage determination requests submitted from providers, determining if a pharmacist review is required. This position requires strong communication and organizational skills, as you will be working closely with prescribers, providers, and members to facilitate coverage determination reviews.
Key Responsibilities:
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
Required Skills and Experience:
1 year retail/hospital/PBM experience
Multi-tasking
Strong communication and organizational skills
Preferred Skills and Experience:
Pharmacists- Internal/External
Technicians- Internal/External
Members/Providers- External (minimal)
Education Requirement:
High School diploma or GED required
Software Skills Required:
Microsoft OneNote
Required Certifications:
Valid Pharmacy Technician License preferred
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