Pharmacy/Technician

Senior Pharmacy TechnicianLocation: Raleigh NCJob Type: 3 – 6 monthsJob Description/RequirementsPerforms reviews of prior approval requests submitted by enrolled providers.Escalates problems to appropriate personnel when needed.Performing under North Carolina's approved criteria that outlines policies and requirements this position determines prior approval for specific procedures.Answers incoming provider calls regarding prior approval request processing. Documents prior approval requests and associated history.Evaluates available information to validate prior approval requests.Verifies policyholder information, policy effective dates, premium status and verification of prior approval request eligibility.Sends prior approval request form to provider for updating, correction or completionInvestigate simple to moderately complex prior approval request and determines level or resolution if appropriate; advises provider of status; assists in negotiating settlement and resolution of prior approval request.Identifies need for additional information; contacts appropriate source to obtain needed information.Performs review of prior approval requests for pharmacy programRequired SkillsetAll requirements of the labor categoryLicensed Pharmacy TechnicianWork EnvironmentOffice environment