Job Description

Certified Pharmacy Tech

Pay Rate: $18.00 to $21.00

Remote/Work from Home

Private Work Area Required

40 hours per week: Overtime may be required

Certificate Needed Determined by State

Must Take Skills Assure

MUST BE ABLE TO WORK WEEKENDS, HOLIDAYS ARE NOT PAID UNLESS WORKING ON THAT DAY.

MUST BE ABLE TO WORK AND 8 HOUR SCHEDULE BETWEEN THE HOURS OF 6:00AM AND 10:00PM CENTRAL TIME.

MUST HAVE HARD WIRED INTERNET - NO WIFI

Prime Therapeutics Contract - 12 Months - w/extension

Certified Pharmacy Tech Need is for (45) Must Haves:

• Retail Experience
• Call Center Experience is a Plus

Job Description Summary

A Certified Technician in a call center evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile (fax) using client clinical criteria in a call center environment.

Job Description

• Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists.
• Research, resolves, and documents prior authorization outcomes in pharmacy system.
• Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.
• Escalates requests to Pharmacist when request requires extensive clinical review or denial.
• Research, resolves, and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider, and/or management.
• Performs other duties as required.
• For CPTs assigned to work the fax queue, responsibilities will also include:
• Clinically reviews coverage determinations with attention to detail, for medications via Fax. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists within SLA (service level agreement) guidelines.
• Efficiently multi-tasks and monitors several queues and assignments. Adapts to team requirements as business needs change (e.g., fax work, pending queues, oral notifications, and failed faxes).

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