This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
Scheduling of customer orders by phone. Reviewing pertinent patient info and noting in operating system.
Ensuring timely dispensing to compliance of therapy. Working with various internal and external departments including but not limited to Admissions, Billing, Pharmacy, Medicaid and private payors.
Ideal candidates that will be selected for the in-person interviews will be given basic pharmacy math test.
Candidates must have intermediate computer skills and excellent communications skills
Experience: At least 1 Year experience as a pharmacy technician coordinating activities in an administrative support function
Education: Verifiable High School diploma or GED is required.