Pharmacy Technician
4 weeks ago
Job ID: 24-39496
Pay Range: $18 - $20/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required
- 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
- Key Skills; Prior Authorization, Retail, Hospital Pharmacy and PTCB Cettification.
- Retail, Hospital or Mail order Pharmacy
- Prior Authorization
- Needs a computer with high-speed Internet
- Pharmacy Technician License and National Certification PTCB
- Experience in a healthcare setting
- Experience with computers, creating and editing documents, utilizing browsers, etc.
- Customer Service skills
Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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