Pharmacy Service Tech I
Title: Pharmacy Service Tech I
Duration: 3+ Months (Possible extension)
Location: Philadelphia, PA, 19113
Responsibilities:
Under the general supervision of the Supervisor of Pharmacy Prior Authorization Technicians, the Pharmacy Services Technician I assists in the prior authorization process.
· Reviews and approves physician inquiries for pre-authorization and medical necessity requests based on established pharmacy guidelines and contract criteria.
· Supports Fraud and Abuse program system oversight by reviewing medication utilization records.
· Communicates any suspected fraud discovered.
· Recommends course of action for providers where patterns appears outside of guidelines and generally accepted pharmacy standards.
· Keeps abreast of industry trends and regulatory changes in the pharmacy industry and incorporates knowledge in the performance of job duties.
· Identifies problems in process/procedures or services and makes recommendations for improvements.
· Maintains a balance of productivity, quality and timeliness of job accountabilities.
· Participates in department self-audit procedures for on-going evaluation of service.
· Maintains and updates internal databases.
· Enters application information, prior authorizations and other relevant data. Ensures database information and appended files are current and accessible to staff.
· Generates reports and other information requested on a scheduled/as needed basis.
· Creates and supports an environment which fosters teamwork, cooperation, respect and diversity. Establishes and maintains positive communication and professional demeanor with employees and clients at all times.
· Performs other related duties as assigned.
· Attends required training on an annual basis.
Position Qualifications/Requirements:
Education and Training:
· High School Graduate or GED equivalent required
Experience:
· Minimum 2 years previous pharmacy experience
· Minimum 35 words per minute typing speed
Licenses, Registrations or Certifications
· Current Pharmacy technician certification (PTCB or NCCT)
· High School Graduate or GED equivalent: Required
· Pharmacy Experience: Required: 2 Years
· Minimum 35 words per minute typing speed: Required.
If you are not interested in looking at new opportunities at this time I fully understand. I would in that case be appreciative of any referrals you could provide from your network of friends and colleagues in the industry. We do offer a referral bonus that I’d be happy to extend to you if they turn out to be a great fit for my client.
Thank you for your time and for consideration. I look forward to hearing from you.
Kind Regards
Sumit Agarwal
732-902-2125