Pharmacy Technician
نُشرت في :
29-06-2024
صاحب العمل نشط
حالة تأهب وظيفة
سيتم تحديثك بأحدث تنبيهات الوظائف عبر البريد الإلكترونيValid email field required
أرسل الوظائف
شارك هذه الوظيفة
أرسل لي وظائف مشابهة
حالة تأهب وظيفة
سيتم تحديثك بأحدث تنبيهات الوظائف عبر البريد الإلكترونيValid email field required
أرسل الوظائف
الراتب الشهري
لم يكشف
لم يتم الكشف عن الراتب
نُشرت في :
29-06-2024
الوصف الوظيفي
Overview:
TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family dental and vision plans for employers etc.
Title: Pharmacy Technician
Work Location: Detroit MI 48243
Duration: 6 Months
Job Type: Contract
Work Type: Hybrid (Yes the employee will need to be able to come onsite as needed but will work primarily remote (less than 1x/week)
Job Description
Dept: Pharmacy Help Desk Comm
Engagement Description:
- Support Client providers (pharmacists and physicians) with Medicare Part D and/or Commercial pharmacy/ specialty drug benefits analysis drug coverage inquiries and prior authorizations.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
- Answer telephones in an efficient and timely manner to lend appropriate assistance to providers
- Triage prior authorization requests under the supervision of a Clinical Pharmacist.
- Assists in maintaining pharmacy prior authorization criteria used in the adjudication of pharmacy/specialty claims.
- Analyzing written inquiries which lends to entry and updating of pharmacy authorizations into the claims system.
- Communicate coverage determination status to physicians and/or members and effectuate such decisions within the authorization tool.
- Troubleshoot problems inquiries and new processing procedures for coverage determinations.
- Assist with internal control systems and regulations compliance.
- Perform other related duties as assigned.
EDUCATION AND/OR EXPERIENCE
- High School Graduate of GED equivalent required. Two (2) years of college preferred.
- Two (2) years experience in retail or hospital Pharmacy required.
- Pharmacy Technician Certification (PTCB) preferred
- Knowledge of prescription drug names therapeutic classes and claims processing Experience with Medicare Part D prescription benefits may be preferred for some positions
QUALIFICATIONS
- To perform this job successfully an individual must be able to perform each essential duty satisfactorily.
- The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
OTHER SKILLS AND ABILITIES
- Expert knowledge of pharmacy claims processing
- Understanding of formularies and utilization management edits
- Familiarity with pharmaceutical manufacturers and product/cost information . Computer Literate (Microsoft Office Products).
TekWissen Group is an equal opportunity employer supporting workforce diversity.
نوع التوظيف
دوام كامل
المهارات المطلوبة
الإبلاغ عن هذه الوظيفة
إخلاء المسؤولية: د.جوب هو مجرد منصة تربط بين الباحثين عن عمل وأصحاب العمل. ننصح المتقدمين بإجراء بحث مستقل خاص بهم في أوراق اعتماد صاحب العمل المحتمل.
نحن نحرص على ألا يتم طلب أي مدفوعات مالية من قبل عملائنا، وبالتالي فإننا ننصح بعدم مشاركة أي معلومات شخصية أو متعلقة بالحسابات المصرفية مع أي طرف ثالث. إذا كنت تشك في وقوع أي احتيال أو سوء تصرف، فيرجى التواصل معنا من خلال تعبئة النموذج الموجود على الصفحة اتصل بنا
