Pharmacy Service Technician

  •  

Philadelphia, PA

Less than 5 years

Posted 162 days ago

  by    Shailesh Agrawal

Duties:

?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 AMFC employees and clients at all times.

? Performs other related duties as assigned.

? Attends required training on an annual basis.

Skills:

 

? Minimum 2 years previous pharmacy experience

? Minimum 35 words per minute typing speed

? Current Pharmacy technician certification (PTCB or NCCT)

Education:

 

? High School Graduate or GED equivalent.