Job Specific Duties: Working knowledge of medical terminology, HCPCS, CPT & ICD-10 coding applications, basic anatomy and physiology, confidentiality guidelines, pharmaceuticals, pharmacy service models in various practice settings, and pharmacy billing & pricing of pharmaceuticals. ESSENTIAL FUNCTIONS: Coordinates and processes independently pharmacy prior authorizations taking into consideration pharmacy benefits, medication utilization policies, documented technician approval criteria, information submitted by prescriber, and age-related presentation of member requesting.