Pharmacy Technician - Detroit, United States - LanceSoft

Description

This is an onsite position and vaccination is required

Roles and Responsibiltes:

Answer telephones in an efficient and timely manner to lend appropriate assistance to providers Triage prior authorization requests under the supervision of a Clinical Pharmacist.

Assists in maintaining pharmacy prior authorization criteria used in the adjudication of pharmacy/specialty claims. Analyzing written inquiries which lends to entry and updating of pharmacy authorizations into the claims system. Communicate coverage determination status to physicians and/or members and effectuate such decisions within the authorization tool. Troubleshoot problems, inquiries, and new processing procedures for coverage determinations. Assist with internal control systems and regulations compliance.


Required Skills/Experience:
Two (2) years experience in retail Pharmacy required.

Knowledge of prescription drug names, therapeutic classes and claims processing Expert knowledge of pharmacy claims processingEducation/Certifications Include:
High School Graduate of GED equivalent required. Two (2) years of college preferred Pharmacy Technician Certification (PTCB) preferred