Clinical Pharmacy Technician

Integrated Resources, Inc

Phoenix, Arizona

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JOB DETAILS

JOB TYPE

Contractor

SKILLS

Certified Pharmacy Technician (CPhT), Communication Skills, Content Management Systems (CMS), Disease, Formulary, Health Plan, Healthcare, Healthcare Reimbursement, ICD-9, Identify Issues, Medical Coding, Medical Office, Medical Terminology, Medications, Microsoft Office, People Management, Pharmacy, Prescription Drugs, Presentation/Verbal Skills, Reimbursement, Retail, Secondary School, Writing Skills

LOCATION

Phoenix, Arizona

POSTED

1 day ago

Clinical Pharmacy TechnicianPosition: Clinical Pharmacy TechnicianLocation: Phoenix AZDuration: 5 monthsRequirements:• Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.• Determines appropriateness for medications. Communicates decision to physicians, physician's office staff, medical management staff and/or pharmacists. - Researches, resolves and documents prior authorization outcomes in pharmacy system.• Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician's office staff, medical management staff and/or pharmacists.• Escalates requests to Pharmacist when request requires extensive clinical review or denial.• Researches, resolves and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider and/or management. Performs other duties as required.• Requirements/Certifications: Minimum of 6 months dispensing or retail experience required, or equivalent internal training will be substituted. CPT - Certification/licensure in accordance with state requirements. PTCB National certification required.• Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.• In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).• Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.• Excellent written and verbal communication skills.• Ability to follow clinical criteria and instructions to approve prior authorization requests. Ability to identify and trouble-shoot problematic issues.• Pharmacy PTCB - Pharmacy Technician Certification - Pharmacy CPT - Certified Pharmacy Technician – Pharmacy GED (Required) High School (Required).• 5ppl - Monday - Friday; 9am-5:30pm (30 min lunch).• 3ppl- Tuesday- Saturday 12pm-8:30pm (30 min Lunch).

Clinical Pharmacy Technician

Integrated Resources, Inc

Phoenix, Arizona

About the Company

Integrated Resources, Inc

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