Title : Pharmacy Tech
Rate : $18 / hr
Location : Remote
Duration : Starting at 6 months
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.
- Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients
Qualifications :
- High school diploma or equivalent.
- 1+ years of retail, hospital or mail order pharmacy experience.
- License / Certification : Current states Pharmacy Technician license and National Certification from Pharmacy Technician Certification Board (CPhT).
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