What are we looking for in our Pharmacy Care Technician-REMOTE - ONLY PST / MST TIME ZONES?

Job Title : Pharmacy Care Technician

Pay : $18.00 / hr. to $22.13 / hr. Pay Rates are SET based on current residence

Schedule : Some flexibility required-Shift after training is an 8 hour shift with an hour lunch. Multiple schedules available starting as early as 5am and working as late as midnight.

Candidates will work 5 days a week which may or may not include a weekend day(s).

Location : You MUST currently reside and be licensed in one of these states for consideration!!!!!!

REMOTE TO NEVADA, ARIZONA, NEW MEXICO, UTAH, MONTANA, IDAHO, OREGON, AND COLORADO RESIDENTS

Contract Duration : 4 months- temp to hire

Training is paid, 8am to 5pm Monday-Friday to start!!!

Company Overview :

Our client is a diversified health care company that provides health care products and insurance services.

Job Detail :

The essential functions of a pharmacy technician in Prior Authorization are providing expertise and customer service support to members, customers, and / or providers.

This position exists to take incoming requests for prior authorizations, for formulary and non formulary medications (this can include Commercial, Part D, High Touch Clients, Community and State cliental, Adherence and Monitoring and Prior Authorization Clinical Appeals), while ensuring a high level of customer service and maximizing productivity.

Request can be received via fax or telephone, from providers' offices and pharmacists. The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs).

The technician must provide the information clearly, accurately and in a professional manner. Interactions with callers must be documented per contractual and various regulatory / legal requirements.

Responsibilities :

• Primarily answering prior authorization inquiry calls / requests with customer service as well as research and resolve formulary and benefit issues using the appropriate reference material.
• Process member prescriptions or prior authorizations through various computer systems ensuring the accuracy of all data and updating as necessary
• Using established criteria and guidelines, the pharmacy technician receives and processes prior authorization requests made by providers and members for medications not inherently covered on a member's prescription drug plan.
• Resolve issues and complaints in a timely manner.
• Performs other duties as assigned by management.
• Handles inbound phone requests and gathers member data to provide information for Pharmacist consultations.

Minimum Qualifications :

• Home internet access / VPN (internet can be hard wired with Ethernet cord) is required
• Experience working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens)
• Excellent Attendance is a must
• Current residence is a location listed above is REQUIRED

Minimum Education Requirement :

High school diploma AND Licensure Requirement : Active National or State Board Pharmacy Technician Licensure

• Pharmacy Technicians Certification Board (PTCB)
• State Board of Pharmacy Licensure in state of residence
• ExCPT Pharmacy Technician Certification with National Healthcareer Association (NHA)
• The National Board of Prior Authorization Specialist

Russell Tobin is a leading minority-owned professional and technical recruitment and staffing advisory organization.

We are comprised of specialized practices focusing on a variety of skill sets and industries. Having a depth and breadth of industry expertise, our subject matter experts are able to provide tailored and swift sourcing solutions to fulfill client hiring needs.

In other words, we connect top talent with companies.

As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.

Rate / Salary : 18.00 to 22.13 DOE

Last updated : 2024-06-20