Job Title: Pharmacy Tech
Location: Fully remote
Duration: 6 months contract
Job Description:
The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team.
The Tech I will also assist with other duties as needed to include but not limited to: outbound calls, reviewing and processing Prior Auth's received via fax and ePA, monitoring and responding to inquiries via department mailboxes and other duties as assigned by the leadership team.
Responsibilities:
Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards.
Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.
Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc).
Identify and elevate clinical inquiries to the pharmacist team as appropriate
Other duties assigned, for example faxes, sorting, email boxes, CAS maintenance, etc.
Experience:
0 to 3 years of related work experience.
Skills:
Prior Authorization
Call handling experience.
Education:
High School diploma or GED
Active pharmacy tech license required of the state they resist.