Pharmacy Tech I

Job Description

Job Summary :

• 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.

Duties & Responsibilities:

• Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards.
• Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.
• Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc.)
• Identify and elevate clinical inquiries to the pharmacist team as appropriate.
• Other duties assigned, for example faxes, sorting, email boxes, CAS maintenance, etc.

Education:

• Verifiable High School diploma or GED is required.
• Active pharmacy technician license in good standing.

Required Skills:

• Candidate should be comfortable utilizing the full MS Office Suite (MS TEAMS, Outlook are REQUIRED and Word and Excel is helpful).
• At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function. (preferred).
• The Pharmacy Technician certification is preferred but not required at a state or national level.
• Will also consider a Pharm Tech Trainee license.
• Advanced computer skills including word processing and spreadsheet utilization.
• Excellent customer service skills (written and verbal) a must.

Top 3 Skills Required

• High-Volume Healthcare Call Center Experience.
• Minimum 1 year of inbound call center experience.
• Healthcare, insurance, PBM, pharmacy, medical office, or similar environment preferred. Strong customer service and communication skills.

 Pharmacy Technician Experience  Knowledge:

• Pharmacy Technician experience strongly preferred.
• Active Pharmacy Technician License, Certification, or Trainee License preferred.
• If licensed certified, include a screenshot of the active credential at the top of the resume.

 Computer Multitasking & Documentation Skills:

• Ability to navigate multiple systems while handling calls.
• Proficiency with Outlook and MS Teams required.
• Strong data entry and documentation skills.
• Candidate must complete a free online computer skills assessment and attach results to the top of the resume.

Remote Work Requirements:

• Candidates must meet all requirements below.
• Hardwired internet connection required (Wi-Fi only is not acceptable).
• Internet speed test screenshot required with submission.
• Minimum 25 Mbps download and 3 Mbps upload.
• Private, HIPAA-compliant workspace required.
• Ability to work on a computer for the duration of the shift.
• Smartphone required for use of the PING application.