Location : Remote, Nationally sourced
SHIFT : : am : pm their time zone, overtime not required, but typically offered every so often. Can also be flexible with the shift, if needed.
Duration : + months
Requirements; License / Certification : Current state’s Pharmacy Technician license and National Certification from Pharmacy Technician Certification Board (CPhT).
Job Description :
- 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
Position Purpose : Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients
Education / Experience : High school diploma or equivalent. + years of retail, hospital or mail order pharmacy experience.
Clinical - Pharmacy Technician I 580171
Requirements; License/Certification: Current state’s Pharmacy Technician license and National Certification from Pharmacy Technician Certification Board (CPhT). Obtain verbal authorizations and request detailed clinical information from prescribers. ...
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