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Pharmacy Technician

3djdnw5yqdh8wl3frr5t6561tvvokq01affwpxt3lcutzo4f8yt1aeiy3msk02or · 30+ days ago

Mason, OH, US

$31k+
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Full-time

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Duration: Long Term Assignment
Location: Mason, OH 45040

Job Duties:
Responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues. Primary duties may include, but 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 formulary 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.

Education/Certification:
Requires a high school diploma, 1 year of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
Current State Pharmacy Tech. Certification or National Certification based on applicable state(s) required.
•

Last updated on Oct 30, 2023

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