Certified Pharmacy Technician I (BHJOB1435_35613)

Certified Pharmacy Technician I
*This is a 1-year contract position
*This is a remote position – Must be in the state of VA only, please
*Hours: Monday - Friday, 9 am - 8 pm EST, Overtime

(actual shifts are: Monday – Friday | 10:30 am to 7:00 pm EST

Description:
A Certified Pharmacy Technician in a call center evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile (fax) using client clinical criteria in a call center environment.

Responsibilities:

• Assist with inbound and/or outbound patient or physician calls.
• Research and resolve rejected insurance billing issues and/or escalated member issues.
• Determine appropriateness for medications. Communicate decisions to physicians, physicians' office staff, medical management staff, and/or pharmacists
• Research, resolve, and document prior authorization outcomes in pharmacy system.
• Communicates selected prior authorization criteria, pharmacy benefit coverage, and formulary alternatives to physicians, physician's office staff, medical management staff, and/or pharmacists.
• Escalates requests to Pharmacist when request requires extensive clinical review or denial.
• Research, resolve, and document physician or client inquiries and grievances and provide verbal or written results to client, prescriber, provider, and/or management.
• Efficiently multi-tasks and monitors multiple queues and assignments. Adapts to team requirements as business needs change (e.g., fax work, pending queues, oral notifications, and failed faxes).
• For CPTs assigned to work the fax queue, responsibilities will also include:
• Clinically reviews coverage determinations with attention to detail for medications via Fax.
• Communicates decision to physicians, physicians' office staff, medical management staff, and/or pharmacists within SLA (service level agreement) guidelines.
• Performs other duties as required.

Skills/Knowledge/Experience:

• 0 - 2 years of Pharmacy Technician experience.
• Basic computer skills.
• Call center customer service experience, some retail background, ability to work independently from home.

Education:

• High School diploma.

Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!

#ASTLOW

Pay: $19.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Education:

• High school or equivalent (Required)

Experience:

• inbound and/or outbound patient or physician calls: 1 year (Preferred)
• Medical management: 1 year (Required)
• Pharmacy technician: 1 year (Required)
• Call center customer service: 1 year (Required)

License/Certification:

• Pharmacy Technician Certification (Required)

Location:

• Virginia (Required)

Work Location: Remote

Salary : $19