Job Description

Duration: 06+ Months Contract

Job Description:

· Schedule: Training M-F 8-4:30 pm CT, then M-F 10-6:30 pm CT, Rotating Saturday Schedule

· This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.

· At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function.

· National pharmacy technician certification. Eligible for state registration, certification or licensure per state regulations.

· Advanced computer skills including word processing and spreadsheet utilization.

· Excellent customer service skills (written and verbal) a must.

Responsibilities:

· Exciting opportunity for Certified Pharmacy Technicians to work in a complex, high impact customer service role for our Member Services department. Pharmacy Technicians in Member Services accept incoming calls related to requests submitted to Participant Services, resolves issues that have been submitted to Participant Services via mail, tasks, and partners with other departments to ensure timely resolution of requests/inquiries, which include: Pharmacy, Shipping, Customer Care, Finance, Claims Processing, and Eligibility.

· This position may work in multiple types of queues and databases to resolve issues. This position also involves extensive phone interactions with members and possibly Prescribers as well. Technicians will serve as the initial point of contact for Customer Care and Members before the required Pharmacist involvement for all clinical issues/questions. This position may have the ability to Work from Home, depending on several factors including site location, employee performance, department need, as well as other criteria.

Experience:

· Minimum (1) year experience required in a customer service position with high volume call center experience, preferably in healthcare, social services, or a similar service position.

Skills:

· This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process.

· Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.

Education:

· High school Diploma or GED Required; TX Technician License Required; CPhT preferred.

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