Actalent Certified Pharmacy Technician in Orlando, Florida
These Technicians are reviewing Prior Authorizations for determination for a Pharmacy Services department a part of a large healthcare insurance company. Must either approve or deny and then send them to a Pharmacists for final review. Handling all health plans, and all types of medications. They will also be handling some phone calls from members - inbound call.
Company JD Summary: Process prescription exceptions which may include: resolving claim rejects and member and physician outreach. Enter member demographics and prescription information into the data processing system. Research and resolve rejected insurance billing issues and/or escalated member issues. Escalate questions regarding prescription to a Pharmacist for interpretation or provide direction on processing. Assist with inbound and/or outbound patient or physician calls.
Education/Experience: High School diploma.
Current Pharmacy Registration and Certification as required by state of operation.
Basic computer skills.
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Top Skills Details:
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Additional Skills & Qualifications:
Must be a Nationally Certified Technician and registered pharmacy technician in the state they live.
Must have strong computers skills. Will not be on the phones.
If interested call me at 183-670-7539 or email me at firstname.lastname@example.org
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