Pharmacy Technician – Level 1

  • Job Description:
  • Reviews prior authorization requests and units for medications requested under the medical benefit
  • Assesses provider-submitted clinical information for clinical appropriateness based on predetermined clinical criteria
  • Sends notification to members and providers of authorization decisions via telephone, fax, or mail
  • Ensures prior authorization reviews are conducted within timeframes set forth by CMS and/or NYSDOH
  • Establishes great rapport with Provider offices via telephonic communication
  • Sends request for information sheets to Providers
  • Ensures that patient information is shared appropriately maintaining confidentiality and compliance with federal law and HIPAA regulations
  • Requirements:
  • High School Diploma or GED from an accredited institution
  • Either nationally certified Pharmacy Technician in good standing (i.e., PTCB, NHA) or registered or licensed Pharmacy Technician in good standing
  • Experience conducting prior authorization reviews
  • Experience requiring written, verbal, and telephonic communication in English that is clear, concise, grammatically correct, and professional.
  • Benefits:
  • medical, dental and vision coverage
  • incentive and recognition programs
  • life insurance
  • 401k contributions
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