Pharmacy Tech I (US)
Core
Interpret and data entry of basic prescriptions, process prior authorizations, and troubleshoot adjudication issues for pharmacy members.
Role type
Pharmacy Technician I (US)
Builds
Data entry for pharmacists, prior authorization determinations, compliance reports, and member education on prescription rules.
Domain
Healthcare / Pharmacy Benefit Management
Required skills
Prescription data entry, prior authorization processing, Medicare compliance, grievance and appeals resolution, formulary inquiry response, report generation, record keeping
Preferred skills
Oral and written communication, problem-solving, facilitation, analytical skills
Technologies
None explicitly stated
Responsibilities
Verify member information and input data for pharmacists; process prior authorization requests from physician offices; provide resolution to grievances and appeals; respond to inquiries from physicians, sales team, and members regarding formulary and prescription benefits; generate reports relating to rebates, physician utilization, and Beers Criteria; maintain record keeping of prior authorizations and monthly reports.
Seniority
Entry-level, non-management