HP1 Pharmacy Technician
San Juan, Puerto Rico - PR JobRxIndex
| Job Ref: | 1320 |
| Employer: | JobRxIndex |
| Banner: | APS Health Care PR |
| Position type: | Not Employer Defined |
| Job Category: | Health-Systems (Hospital / LTC / Home Infusion) |
| Sub Category: | Technician |
|
Position Summary: The Health Professional 1-Pharmacy Call Center Representative manages telephone calls from pharmacies and providers related to pharmacy benefits, authorization requests, drug use review, among others, to ensure that claims are correctly and timely adjudicated. Essential Functions: 1. Answers and manages telephone calls from pharmacies and providers in a timely, confidential and courteous manner. 2. Documents calls and/or drug requests with complete follow-up history of the patient through electronic records. 3. Provides orientation to pharmacies regarding pharmacy benefits. 4. Performs system overrides (e.g., prior authorization) on the PBM claims processing system to ensure that claims are correctly adjudicated. 5. Assists pharmacies claim processing. 6. Assist in the training of pharmacy representatives. 7. Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable. 8. In addition, all other duties assigned by the manager and/or supervisor. Education:
Experience: • Minimum 2 years' experience in retail pharmacy preferred. Knowledge: • Basic knowledge of physical and mental pharmacotherapies, in order to make accurate assessments of clinical cases. • Personal computer experience should include working with Microsoft Word, Excel, Power Point and Outlook at the intermediate level at a minimum. | |
Location | |
| State: | Puerto Rico - PR |
| City: | San Juan |
ref: (1320) 57 days ago
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