Pharmacy Tech II-Bilingual
Core
Interpret and data entry moderately complex prescriptions, process prior authorizations, troubleshoot adjudication issues, and educate members on pharmacy rules and assistance programs.
Role type
Bilingual pharmacy technician (data entry & prior authorization)
Builds
Prescription processing workflows and prior authorization determinations for health plan members
Domain
Health insurance / Pharmacy benefits administration
Required skills
Prescription interpretation, data entry, prior authorization processing, Medicare compliance, grievance/appeals resolution, formulary knowledge, report generation, record keeping
Preferred skills
Call center experience, PTCB Certification
Technologies
None explicitly stated
Responsibilities
Verify member information and input data for pharmacists; Process prior authorization requests from physician offices; Respond to inquiries from physicians, sales team, and members regarding formulary and prescription benefits; Generate reports relating to rebates, physician utilization, and Beers Criteria
Seniority
Entry-level to Mid-level, Non-Management Non-Exempt