Pharmacy Service Tech

Pharmacy Service Tech

Responsibilities:

• Under the general supervision of the Supervisor of Pharmacy Prior Authorization Technicians, the Pharmacy Services Technician I assists in the prior authorization process.
• Reviews and approves physician inquiries for pre-authorization and medical necessity requests based on established pharmacy guidelines and contract criteria.
• Supports Fraud and Abuse program system oversight by reviewing medication utilization records. Communicates any suspected fraud discovered.
• Recommends course of action for providers where patterns appears outside of guidelines and generally accepted pharmacy standards.
• Keeps abreast of industry trends and regulatory changes in the pharmacy industry and incorporates knowledge in the performance of job duties.
• Identifies problems in process/procedures or services and makes recommendations for improvements. Maintains a balance of productivity, quality and timeliness of job accountabilities. Participates in department self-audit procedures for on-going evaluation of service.
• Maintains and updates internal databases. Enters application information, prior authorizations and other relevant data.
• Ensures database information and appended files are current and accessible to staff. Generates reports and other information requested on a scheduled/as needed basis.
• Creates and supports an environment which fosters teamwork, cooperation, respect and diversity. Establishes and maintains positive communication and professional demeanor with AMFC employees and clients at all times.
• Performs other related duties as assigned.
• Attends required training on an annual basis.

Qualifications:

• High School Graduate or GED equivalent - Required
• Pharmacy Experience - 2 Years - Required
• Minimum 35 words per minute typing speed - Required

Additional Information:

All your information will be kept confidential according to EEO guidelines.