The Pharmacy Tech ll (Data Entry) is responsible for
the interpretation and data entry of moderately complex prescriptions,
prior authorization processing, and troubleshooting adjudication issues.
How You Will Make an Impact
Primary duties may include, but are not limited to:
Verifies member information and inputs data for the pharmacists.
Educates members on pharmacy based rules related to prescriptions and medication resources or assistance programs.
Processes prior authorization requests from physicians offices and
ensures compliance with Medicare requirements; informs relevant parties
of all prior authorization determinations.
Provides resolution to grievances and appeals issues. Responds to
inquiries from physicians, sales team, and members related to formula
and prescription benefits.
Generates reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports.
Maintains record keeping of prior authorizations, rebates, and monthly reports.
Minimum Requirements:
Requires an active, professional license, if required by state law,
State Pharmacy Technician Certification or National Certification based
on applicable state(s) requirements, to practice as a Pharmacy
Technician within the scope of practice in a state or territory of the
United States.
Requires H.S. diploma or equivalent and minimum of 2 years of pharmacy
experience; or any combination of education and experience, which would
provide an equivalent background.
Preferred Skills, Capabilities and Experiences
Associates in this role are expected to have strong oral, written and
interpersonal communication skills, problem-solving skills, facilitation
skills, and analytical skills.
Specialty Pharmacy Experience
Proficient in Microsoft Office
EnterpriseRX experience
Since 2008 SeniorHealthPro Corporation has been composed of an independent network of health insurance agencies, which operates across several states.
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We are not an insurance company. We are your information and connection point to several insurance providers available to you.