Job Description

Position Summary:

The Licensed Pharmacy Technician is responsible for entering prescription information, processing prescription requests (new and/or refill) while upholding quality and performance standards, researching rejected claims, making outbound calls to patients, insurance, or prescribers (if applicable) Preferred shift availability is 11:30 AM – 8:00 PM EST, with experience handling both incoming and outgoing prescriber outreach and issue resolution.

Essential Duties/Responsibilities

• Interpret prescription orders and enter data accurately and timely

• Place outgoing phone calls to patients, doctors and insurance companies to obtain clarification on prescription orders (if applicable)

• Utilizes reasoning skills to identify missing information and make processing determinations based upon policy and client guidelines

• Works under general supervision relying on instructions, work process guidelines, policy and procedures, and company knowledge/experience to perform the function(s) of the job.

• Contact patients to follow up on an incident or provide a resolution (if applicable)

• Research claims that have been rejected by the insurance and resolve the specified rejection

• Perform other duties as assigned

Required Skills/Abilities

• Strong interpersonal and customer service skills

• Ability to maintain confidentiality of information and data in accordance with policies

• Ability to exercise considerable judgment, maintain confidentiality, and act in a diplomatic manner

• Ability to independently identify, research and resolve issues

• A decisive individual who possesses a detail-oriented perspective

• Sound technical skills, analytical ability, good judgment, and strong operational focus

• Ability to work with peers in a team effort

• Demonstrated ability to manage multiple priorities and deadlines

• A well-organized and self-directed individual who is able to work with minimal amount of supervision

• Capability to efficiently complete tasks in a fast-paced environment

• Ability to lift heavy objects up to 15 pounds

• Ability to work extended hours, weekends, and holidays in alignment with departmental and industry demands

Education/Experience

• High School Diploma or GED

• Registered Pharmacy Technician licensed and in good standing with applicable home State Board of Pharmacy and Michigan Board of Pharmacy.

• Certified Pharmacy Technician (CPhT), licensed through the Pharmacy Technician Certification Board (PTCB)

• Experience or knowledge of claims adjudication preferred.

• Experience or knowledge of secondary billing practices including prescription discount cards and Medicaid

• Proficient in Microsoft Office and industry related software programs

Preferred Skill/Abilities

• Prior experience in Retail, Mail Order of Specialty Pharmacy, PBM, pharmaceutical or managed health care industry preferred.

Work Environment/Physical Requirements:

• Hybrid home/office environment, with minimal exposure to excessive noise or adverse environmental issues, and occasional local and/or overnight travel, including exposure to heat, cold, and inclement weather conditionsTransportation for travel typically will include automobile and plane.

• Ability to sit and stand for prolonged periods of time.