Pharmacy Technician

30+ days ago

Job Description

This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process.
Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.

Work a designated outbound call queue focused on prescription refill renewal requests.
Contact physician offices, clinics, and authorized medical staff to obtain verbal refill authorizations.
Clearly communicate prescription details and refill requests to provider offices.
Accurately document call outcomes and authorization information in company systems.
Follow established call scripts, workflows, and compliance guidelines.
Escalate complex cases or concerns to designated pharmacy personnel or supervisors.
Maintain productivity and quality standards while working through assigned workloads.
Identify and document barriers to obtaining refill approvals.
Ensure all patient and provider information is handled in accordance with HIPAA and company policies.
Participate in training sessions, team meetings, and coaching opportunities as required.

At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function.
National pharmacy technician certification. Eligible for state registration, certification, or licensure per state regulations.
Advanced computer skills including word processing and spreadsheet utilization.
Excellent customer service skills (written and verbal) a must.

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