The Pharmacy Technician is responsible for reviewing requests from physicians and pharmacies to determine whether medication coverage can be authorized based on benefit plan design, client specifics and clinical criteria.
Answers provider and member pharmacy benefit questions with a prompt and accurate response.
Also researches and resolves problems in a timely manner to help others understand and maximize the use of their pharmacy program.
- High School diploma;
- Pharmacy Technician certification (must hold or be able to obtain once employed);
- Minimum 35 wpm typing;
- Experience in retail or hospital pharmacy setting;
- Demonstrate working knowledge of direct claims processing, pharmacy computer system, spreadsheet applications (i.e. Microsoft Excel), ACD system, and other office/computer equipment as required;
- Knowledge of pharmaceutical generic and trade names; pharmaceutical calculations, laws and regulations relating to the practice of pharmacy;
- Comprehend and follow established office routines, policies and procedures;
- Effective oral and written communication skills, including grammar and spelling;
- Strong organization, time management and multi-tasking abilities;
- Detail oriented with advanced analytical and problem solving skills;
- Able to work in monitored, fast-paced high volume environment;
- Ability to work effectively as part of a team and independently;
- Provide excellent customer service skills.
- Associates degree in health related field;
- Experience performing medication authorizations in pharmacy or managed care environment.