What are the responsibilities and job description for the Clinical Pharmacy Technician (Washington, DC Certification Required) position at TPW Consultants?
`Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria
- Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists.
- Researches, resolves and documents 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.
- Researches, resolves and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider and/or management.
- Performs other duties as required.
Responsibilities:
CPT: Certification/licensure in WashIngton, DC accordance with state requirements. In the , license registration with the Board of Pharmacy is required without exception.
PTCB: Certification; Workers in states which require a Pharmacy Technician certification/registration exam may substitute state certification/registration for the PTCB.
Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.
In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, Verifying Insurance and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).
Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite. Excellent written and verbal communication skills. Ability to follow clinical criteria and instructions to approve prior authorization requests.
Minimum of 2 years dispensing or retail experience required, or equivalent internal training will be substituted. Ability to identify and trouble-shoot problematic issues.
WORK EXPERIENCE: Pharmacy 2 years CERTIFICATIONS: PTCB in Washington, DC, Pharmacy Technician, State Requirements EDUCATION: High School Diploma or GED (Required)
Job Types: Contract, Full-time
Schedule:
- 8 hour shift
- Monday to Friday
Education:
- High school or equivalent (Preferred)
Experience:
- Pharmacy technician experience: 2 years (Required)
License/Certification:
- ,PTCB, Certification State Requirement (Washington, DC Certification Required)
Shift availability:
- Day Shift (Preferred)
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- Work Location: Remote.
Job Type: Full-time
Pay: $25.00 - $29.00 per hour
Work Location: Remote
Salary : $25 - $29