Job Responsibilities:
- Work closely with providers to process prior authorization (PA), and drug benefit exception requests in accordance with Medicare Part D Regulations.
- Additionally, the rep II will be responsible for research and correction of any issues found in the overall process.
- This position is responsible for reading, interpreting, and entering prescriptions into computer system.
- Technicians are also responsible for forwarding questionable prescriptions to a Pharmacist, and completing and resolving prescriptions diverted to the clinical intervention area.
- Prepare prescriptions according to label provided, while verifying patient, address and medication information.
- Technicians also call physicians and health care provider’s offices for prescription clarification, substitutions, and formulary changes on a prescription order.
- Operates keyboard and computer screen to enter patient information and prescription information.
- May also assist the pharmacist with prescription clarification and / or therapeutic intervention program.
- Phone assistance is required to initiate and / or resolve coverage requests.
- Ability to read, analyse and interpret general business correspondence, technical procedures and governmental regulations.
Experience / Education:
- 2-3 year of Pharmacy / PBM experience required
- Minimum one-year related experience in a retail, home health or hospital pharmacy required; or equivalent combination of education and experience.
- Prior technician experience in a retail or hospital pharmacy preferred.
- Certified Pharmacy Technician (Cpht) preferred
- Current Pharmacy Technician certification preferred.
- High School Diploma or GED required.
- Ability to write routine correspondence.
- Ability to communicate effectively by telephone.
- Ability to accurately read and interpret prescriptions.
- Basic PC skills required.