Pharmacy Tech ll (Data Entry)
Summary The Pharmacy Tech ll (Data Entry) is responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. How You Will Make an Impact Primary duties may include, but are not limited to: • Verifies member information and inputs data for the pharmacists. • Educates members on pharmacy based rules related to prescriptions and medication resources or assistance programs. • Processes prior authorization requests from physicians offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations. • Provides resolution to grievances and appeals issues. Responds to inquiries from physicians, sales team, and members related to formula and prescription benefits. • Generates reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports. • Maintains record keeping of prior authorizations, rebates, and monthly reports. Minimum Requirements: • Requires an active, professional license, if required by state law, State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements, to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States. • Requires H.S. diploma or equivalent and minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences • Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. • Specialty Pharmacy Experience • Proficient in Microsoft Office • EnterpriseRX experience Since 2008 SeniorHealthPro Corporation has been composed of an independent network of health insurance agencies, which operates across several states. We are not an insurance company. We are your information and connection point to several insurance providers available to you. Apply tot his job