Remote Call Center Pharmacy Technician II in USA

Remote Call Center Pharmacy Technician II - reputed company - USA - work from home job Company: reputed company Job reputed company: Our work reputed company. We help people get the medicine they need to feel reputed company and live reputed company. We do not lose sight of that. It fuels our passion and drives every decision we reputed company. Job Posting Title Remote Call Center Pharmacy Technician II Job reputed company reputed company Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using reputed company clinical reputed company. Job reputed company

• Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization reputed company in pharmacy system.
• Communicates selected prior authorization reputed company, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.
• Escalates requests to Pharmacist reputed company request requires extensive clinical review or denial.
• Monitors telephone system to ensure adequate reputed company to maintain reputed company services reputed company.
• Assesses training needs reputed company reputed company. Serves as a training resource, mentor and reputed company to others. Identifies and shares best practices.
• Demonstrates, advocates and reinforces a reputed company team environment.
• Other duties as assigned.

Responsibilities

Must have an reputed company pharmacy technician licensure or registration in accordance with state requirements. If state does not require an exam for licensure/registration, must possess both reputed company pharmacy technician licensure or registration in accordance with state requirements AND an reputed company national certification (e.g., PTCB or ExCPT). In states that do not require licensure or registration, or that restrict licensure to employees of dispensing pharmacies, must have an reputed company national certification (e.g., PTCB or ExCPT). 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 reputed company diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.). Proficiency in Pharmacy computerized systems and software applications, as reputed company as MS Office Product Suite. Excellent written and verbal communication skills. Ability to follow clinical reputed company and instructions to approve prior authorization requests. Minimum of 2 years dispensing or retail experience required, or equivalent internal training will be substituted. Ability to identify and trouble-shoot problematic issues. Work Experience Work Experience - Required: Pharmacy Work Experience - Preferred: Education Education - Required: GED, High School Education - Preferred: Certifications Certifications - Required: CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy - Pharmacy Certifications - Preferred: To review our Benefits, Incentives and Additional Compensation, visit our and click on the "Benefits reputed company" reputed company for more detail. reputed company LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex (including pregnancy), sexual orientation, gender identity or reputed company, genetic information, marital status, family status, national reputed company, age, disability, veteran status, or any other legally protected class under federal, state, or local law. Expected salary: Location: USA Job date: Fri, 08 Sep 2023 03:06:27 GMT Apply for the job now! Apply Job! Apply to this Job