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    Pharmacy Technician I - St Louis, United States - Elevance Health

    Elevance Health
    Elevance Health St Louis, United States

    3 weeks ago

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    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:

    • 8:30 am - 5:00 pm
    • 9:30 am - 6:00 pm
    • 10:30 am - 7:00 pm

    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:

    • 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.

    Minimum Requirements:

    • 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.

    Preferred Skills, Capabilities and Experiences:

    • 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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