Job Description
Job Title: Pharmacy Technician
Job Description
The Pharmacy Technician supports pharmacy operations including prior authorizations, formulary management, claims processing, audit/recovery, and Medicare Part D/Part B programs. This role partners with pharmacists, providers, and members to ensure accurate, compliant, and timely handling of pharmacy benefits.
Responsibilities
+ Review and process prescription drug and pharmacy benefit requests in accordance with guidelines
+ Support prior authorizations, coverage determinations, and appeals processing
+ Research and resolve issues related to claims, benefits, and formulary coverage
+ Maintain and update formulary data, including change requests and audits
+ Perform pharmacy audit and recovery activities, including claim discrepancy review
+ Communicate with providers, pharmacies, and members via phone, fax, and email
+ Document activities accurately in claims systems ...
Job Description
The Pharmacy Technician supports pharmacy operations including prior authorizations, formulary management, claims processing, audit/recovery, and Medicare Part D/Part B programs. This role partners with pharmacists, providers, and members to ensure accurate, compliant, and timely handling of pharmacy benefits.
Responsibilities
+ Review and process prescription drug and pharmacy benefit requests in accordance with guidelines
+ Support prior authorizations, coverage determinations, and appeals processing
+ Research and resolve issues related to claims, benefits, and formulary coverage
+ Maintain and update formulary data, including change requests and audits
+ Perform pharmacy audit and recovery activities, including claim discrepancy review
+ Communicate with providers, pharmacies, and members via phone, fax, and email
+ Document activities accurately in claims systems ...