Location: Oklahoma City
Posted on: September 10, 2021
The essential functions of a pharmacy technician in Prior
Authorization are providing expertise and customer service support
to members, customers, and/or providers. This position exists to
take incoming requests for prior authorizations, for formulary and
non formulary medications, while ensuring a high level of customer
service and maximizing productivity. Request can be received via
fax or telephone, from providers' offices and pharmacists. The
position provides clinical review for authorizations in keeping
with legal and contractual requirements, including but not limited
to turn around times #TATs# and service level agreements #SLAs#.
The technician must provide the information clearly, accurately and
in a professional manner. Interactions with callers must be
documented per contractual and various regulatory / legal
Using established criteria and guidelines, the pharmacy technician
receives and processes prior authorization requests made by
providers and members for medications not inherently covered on a
member's prescription drug plan.
Answer prior authorization inquiry calls or/and faxes as well as
research and resolve formulary and benefit issues using the
appropriate reference material.
Resolve issues and complaints in a timely manner.
Performs other duties as assigned by management.
Handles inbound phone requests and gathers member data to provide
information for Pharmacist consultations.
Keywords: , Oklahoma City , Pharmacy Technician, Healthcare , Oklahoma City, Oklahoma
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