- 8:30 am - 5:00 pm
- 9:30 am - 6:00 pm
- 10:30 am - 7:00 pm
- Verify member information and input data for the pharmacists.
- Educate members on pharmacy-based rules related to prescriptions and medication resources or assistance programs.
- Process prior authorization requests from physicians' offices and ensure compliance with Medicare requirements; inform relevant parties of all prior authorization determinations.
- Provide resolution to grievances and appeals issues.
- Respond to inquiries from physicians, sales team, and members related to formulary and prescription benefits.
- Generate reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports.
- Maintain record keeping of prior authorizations, rebates, and monthly reports.
- Requires H.S. diploma or equivalent and minimum of 1 year of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
- Current State Pharmacy Tech certification or National certification based on applicable state(s) required.
- Retail or specialty pharmacy experience preferred.
- Ability to deliver friendly, courteous and prompt customer service with healthcare professionals is a must.
- Previous data entry experience and the ability to interpret prescriptions is preferred.
- Third Party Billing and adjudication experience is preferred.
- Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
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Pharmacy Technician I - St. Louis, United States - Elevance Health
Description
Job Description
:Be Part of an Extraordinary Team
BioPlus Specialty Pharmacy is now part of CarelonRx, and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.
LOCATION : This position will work onsite at our office at 1831 Chestnut St. St. Louis, MO. You must be able to commute to this location on a daily basis.
HOURS: Monday through Friday; you will be assigned one of the following:
The Pharmacy Technician I (Data Entry) is responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues.
Primary duties include, but are not limited to:
Minimum Requirements:
Preferred Skills, Capabilities and Experiences:
Job Level:
Non-Management Non-ExemptWorkshift:
Job Family:
MED > Licensed/Certified Allied Health ProfessionalPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
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