What are the responsibilities and job description for the Pharmacy Technician - Remote position at Solvet?
Job Description Summary
A Certified Technician in a call center evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and / or facsimile (fax) using client clinical criteria in a call center environment.
Requirements :
One year experience working in retail pharmacy
Active Current Louisiana Pharmacy Technician License
Ability to pass criminal and professional background investigation
Must reside in Louisiana
Job Description
Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and / or pharmacists.
Research, 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.
Research, 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.
For CPTs assigned to work the fax queue, responsibilities will also include :
Clinically reviews coverage determinations with attention to detail, for medications via Fax. Communicates decision to physicians, physician`s office staff, medical management staff and / or pharmacists within SLA (service level agreement) guidelines.
Efficiently multi-tasks and monitors several queues and assignments. Adapts to team requirements as business needs change (e.g., fax work, pending queues, oral notifications, and failed faxes).
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