Pharmacy Technician II - Bilingual
Core
Interpret and data entry moderately complex prescriptions, process prior authorizations, troubleshoot adjudication issues, and educate members on pharmacy rules and assistance programs.
Role type
Bilingual pharmacy technician (data entry & prior authorization)
Builds
Prescription adjudication workflows and member education resources
Domain
Health insurance / Pharmacy benefits administration
Deliverable
dashboards & analysis
Required skills
Prescription interpretation, Data entry, Prior authorization processing, Medicare compliance, Grievance resolution, Report generation, Spanish language proficiency
Preferred skills
Call center experience, PTCB Certification
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 issues, Respond to inquiries from physicians and members regarding formulary and benefits, Generate reports relating to rebates and utilization, Maintain record keeping of prior authorizations and monthly reports