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Pharmacy Technician

Tempe, AZ

Pharmacy Technician - Health Plan
Tempe, AZ (Phoenix Metro Area - East Valley)

***Must be a Certified Pharmacy Technician (CPhT) with prior experience at a Health Plan***

Pharmacy Technician Job Summary: 

  • The Prior Authorization (PA) Pharmacy Technician will receive inbound and initiate outbound calls.
  • Makes outreach calls to members, providers, and patients to resolve medication issues or rejections.
  • Reviews and resolves all prior authorization emails, questions, and member escalation issues
  • Completes data entry of prior-authorization requests within the systems
  • Receives and reviews prescription prior-authorization requests from contracted providers via telephone, fax, email, or surface mail
  • Provides general PA information requests via telephone, fax, email, or surface mail to providers, members, and/or clients and initiating information requests from providers when additional information is required to adjudicate a prior authorization request
  • Assist pharmacies, if needed, in resolving obstacles for a PA related medication
  • Assists participants with manufacturer or other assistance programs
  • Identifies, reports, and escalates any complaints to immediate manager
Pharmacy Technician Background Profile:
  • Must have valid state or federal license with Pharmacy Technician Certification.
  • Certification from the Pharmacy Technician Certification Board as a Certified Pharmacy Technician (CPhT) is required.
  • Around 3-5 years of Pharmacy Technician experience required, preferably in a Hospital or Medical Center environment.
  • Strongly prefer at least 1 year experience with claims entry and processing for members.
  • Prefer experience handling prescription claims through Medicare Part D.
  • Familiarity with Formulary Lists including common edits and restrictions.
  • Must possess a solid understanding of pharmacy claims from the health insurance perspective.
  • Demonstrated superior verbal communication skills by telephone.
  • Possess planning, organizing, conflict resolution, negotiating and interpersonal skills.
  • Prefer those fully bilingual in English and Spanish.


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KAYLA ROGERS
ACCOUNT MANAGER
CareNational
kayla@carenational.com
623.201.8732 (CALL – TEXT – FAX)
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