Sr. Pharm Tech-Call CenterPrimary Location: Phoenix, Arizona
Additional Locations: AZ-Phoenix Apply
- High Volume call center and production unit.
- Evaluates and authorizes approval of pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.
- Determines appropriateness for medications
- Communicates decision to physicians, physician’s office staff, medical management staff, patients, and/or pharmacists.
- May perform clinical research to support request.
- Utilizes various propriety systems to build, research, process and enter requests.
- Performs non-medical research including eligibility verification, COB, and benefits verification.
- Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements.
- Escalates requests to Pharmacist when request requires extensive clinical review or denial.
- Promotes communication, both internally and externally, to enhance effectiveness of medication therapy management services.
- Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
- May communicate with Aetna Case Managers and Health Plan Staff.
- Process requests in compliance with various laws and CMS regulations and company policies and procedures.
- Sedentary work involving significant periods of sitting, talking, hearing, and keying.
- Work requires visual acuity to perform close inspection of written and computer generated documents as well as dual PC monitors.
- Experience in retail, hospital, facility or call center is preferred.
- Proficiency in computerized pharmacy systems and software applications.
- Excellent verbal and written communication skills.
- Experience with Windows-based software applications.
- High School Diploma or G.E.D.
- Both Pharmacy Technician certification with the National Board of Pharmacy and AZ State License are required to be current and in good standing.
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