Pharmacy Technician

Location: Oklahoma City
Posted on: October 29, 2024

Job Description:

The essential functions of a pharmacy technician in Prior Authorization are providing expertise and customer service support to members, customers, and/or providers. This position exists to take incoming requests for prior authorizations, for formulary and non formulary medications, while ensuring a high level of customer service and maximizing productivity. Request can be received via fax or telephone, from providers' offices and pharmacists. The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times #TATs# and service level agreements #SLAs#. The technician must provide the information clearly, accurately and in a professional manner. Interactions with callers must be documented per contractual and various regulatory / legal requirements.

Responsibilities:

Using established criteria and guidelines, the pharmacy technician receives and processes prior authorization requests made by providers and members for medications not inherently covered on a member's prescription drug plan.

Answer prior authorization inquiry calls or/and faxes as well as research and resolve formulary and benefit issues using the appropriate reference material.

Resolve issues and complaints in a timely manner.

Performs other duties as assigned by management.

Handles inbound phone requests and gathers member data to provide information for Pharmacist consultations.

Keywords: , Edmond , Pharmacy Technician, Healthcare , Oklahoma City, Oklahoma