Pharmacy Technician I
Core
Interpret and data entry of basic prescriptions, process prior authorizations, and troubleshoot adjudication issues for pharmacy members.
Role type
Pharmacy Technician I (Data Entry & Prior Authorization)
Builds
Pharmacy claims processing and member benefit resolution
Domain
Healthcare / Pharmacy Administration
Deliverable
dashboards & analysis
Required skills
Prescription data entry, Prior authorization processing, Medicare compliance, Grievance resolution, Formulary knowledge, Report generation
Preferred skills
State Pharmacy Tech License
Technologies
Pharmacy management systems, Medicare adjudication platforms
Responsibilities
Verify member information and input data for pharmacists, Process prior authorization requests from physician offices, Provide resolution to grievances and appeals, Respond to inquiries from physicians and members regarding prescription benefits, Generate reports on rebates and utilization, Maintain records of prior authorizations and monthly reports