Pharmacy Technician 1
Core
Interpret and data entry of basic prescriptions, process prior authorizations, and troubleshoot adjudication issues for pharmacy members.
Role type
Pharmacy Technician (Data Entry & Prior Authorization)
Builds
Prior authorization requests and compliance reports for Medicare and member benefit plans
Domain
Health Insurance / Pharmacy Administration
Deliverable
dashboards & analysis
Required skills
Prescription data entry, Prior authorization processing, Medicare compliance, Member information verification, Report generation, Grievance resolution
Preferred skills
None stated
Technologies
None stated
Responsibilities
Maintain record keeping of prior authorizations, rebates, and monthly reports; Verify member information and input data for pharmacists; Educate members on pharmacy rules and assistance programs; Process prior authorization requests and ensure Medicare compliance; Provide resolution to grievances and appeals; Respond to inquiries from physicians and members regarding formulary and benefits
Seniority
Entry-level, Non-Management