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Clinical Pharmacy Technician II
1 month ago
At Prime Therapeutics, we're passionate about helping people get the medicine they need to feel better and live well. As a Clinical Pharmacy Technician II, you'll play a critical role in evaluating and authorizing approval of prior authorization pharmacy requests from prescribers. Your expertise will ensure that our clients receive the best possible care, while also promoting a positive team environment.
Key Responsibilities:
- Evaluate and authorize approval of prior authorization pharmacy requests from prescribers
- Communicate decision to physicians, physician's office staff, medical management staff, and/or pharmacists
- Research, resolve, and document prior authorization outcomes in pharmacy system
- Escalate requests to Pharmacist when request requires extensive clinical review or denial
- Monitor telephone system to ensure adequate staffing to maintain client services levels
- Assess training needs within the team and serve as a training resource, mentor, and coach to others
Requirements:
- Active pharmacy technician licensure or registration in accordance with state requirements
- Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting
- In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology, and current diagnostic and reimbursement coding
- Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite
- Excellent written and verbal communication skills
- Ability to follow clinical criteria and instructions to approve prior authorization requests
What We Offer:
- Competitive pay range of $17.16 - $25.73 based on experience and skills
- Opportunity to work in a fast-paced and dynamic work environment
- Collaborative team-oriented culture
- Professional development and growth opportunities