Pharmacy Technician - CPhT

• Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients   

• Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required  

• Obtain verbal authorizations and request detailed clinical information from prescribers  

• Approve coverage determination requests based on defined criteria  

• Enter and document coverage determination request decision into the PBM system and notify providers and/or members  

• Respond to client inquiries regarding authorization approvals and PBM on-line applications  

• Refer coverage determination requests for specialty drugs to delegated vendor or client for processing

Compensation: $14 - $17/h