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Pharmacy Technician I/II - Prior Authorization - Wilson Community Health Center

Carolina Family Health Centers

Wilson, North Carolina

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JOB DETAILS
SKILLS
Behavioral Health, Certified Pharmacy Technician (CPhT), Communication Skills, Community Health, Computer Skills, Cross-Functional, Dental Insurance, Documentation, Driver's License, Employee Assistance Plan, Healthcare, Healthcare Quality, High School Diploma, Identify Issues, Insurance, Internet Portal, Interpersonal Skills, Lift/Move 50 Pounds, Medical Record System, Medications, Nonprofit, Office Equipment, Organizational Skills, Patient Care, Patient Care Denials, Pharmacy, Prescription Drugs, Presentation/Verbal Skills, Primary Care, Team Player, Vision Plan, Writing Skills
LOCATION
Wilson, North Carolina
POSTED
4 days ago
Come join our “Family” and be part of providing healthcare In the Community…For the Community.
 
Carolina Family Health Centers, Inc. provides accessible and affordable health care with excellence...where patients come first. Regardless of an individual’s ability to pay or their insurance status, we believe that EVERYONE deserves access to quality health care.
 
As a nonprofit, federally qualified health center (FQHC), we strive to meet the needs of our community and breakdown barriers that prevent individuals from seeking health care. Our service offering includes primary medical care, behavioral health, pharmacy and dental services in an integrated model that provides a comprehensive approach to care for our patients. 
 
Position Overview
The Pharmacy Technician I/II - Prior Authorization at our Wilson Community Health Center is responsible for supporting the collaborative workflow of prior authorizations for Carolina Family Health Centers, Inc..  The Pharmacy Technician I/II - Prior Authorization is an on-site/in-office position with opportunities to grow interpersonal skills with a multidisciplinary team.
 
THIS POSITION OFFERS A 40-HOUR WORKWEEK, NO WEEKENDS, FULL BENEFITS PACKAGE, 12 PAID HOLIDAYS, BI-WEEKLY PAY.
 
Essential Tasks
  • Aiding pharmacy and medical teams in the assessment of prescription & EHR messages to determine if a prior authorization is truly needed.  
  • Navigating various online portals and resources related to prior authorizations.
  • Maintaining knowledge of common payers’ clinical coverage criteria for frequently prescribed medications.  
  • Ensuring accurate submission of required documentation to payers.
  • Documenting work within EHR and pharmacy software systems. 
  • Tracking prescription authorization processes through to determination.
  • Communicating updates effectively with patients as well as members of the pharmacy and medical teams.
  • Troubleshooting denials and collaborating with medical and pharmacy teams to determine next steps for patient access to necessary therapy.
  • Supporting health center pharmacy workflow through regular participation in medication dispensing activities.
  • Becoming a trained Medicare counselor through the North Carolina Department of Insurance Seniors' Health Insurance Information Program (NCSHIIP) within 6 months of hire & subsequently counseling patients on Medicare Part D plan options.
 
Experience and Education
  • High school diploma or equivalent.
  • Valid North Carolina Driver’s License.
  • Previous pharmacy work experience or community health center experience, preferred.
  • National Pharmacy Technician certification (CPhT) through the Pharmacy Technician Certification Board (PTCB), preferred.
  • Computer literacy.
  • Self-directed with good organization skills.
  • Team player with the ability to work independently.
  • Excellent verbal and written communication skills

Schedule
Monday to Friday
8 am - 5 pm
8 hour shift
Day shift
 
Physical Requirements
  • Constant standing and walking, occasional bending, stooping, lifting, reaching forward and overhead.
  • May occasionally be required to lift patients, office equipment and paper, usually not exceeding fifty pounds of direct lift.
  • Frequent computer work required.
 
Benefits
  • 401(k) and match
  • AD&D insurance
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Holidays
  • Vision insurance
 
Job Type
Full-time, On site
 
Base Pay Overview
The starting pay for the Pharmacy Technician I is $15.00 hourly and $17.00 hourly for the Pharmacy Technician II.  Please keep in mind that actual salary will vary based on various factors such as qualifications, skills, competencies, and proficiency for the roles.

About the Company

C

Carolina Family Health Centers

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