Pharmacy Tech I

The Judge Group - Garden City, GA

Full-time - Entry Level

Remote - Garden City, GA

Administrative and Support Services

About the position

The Pharmacy Tech I position is a temporary remote role responsible for providing customer service support related to pharmacy services. The role involves responding to customer inquiries, analyzing problems, and providing solutions while maintaining positive customer relations. The technician will work under immediate supervision and is expected to complete basic training and meet departmental goals.

Responsibilities

• Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
• Analyzes problems and provides information/solutions.
• Operates a PC/image station to obtain and extract information; documents information, activities, and changes in the database.
• Thoroughly documents inquiry outcomes for accurate tracking and analysis.
• Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
• Researches and analyzes data to address operational challenges and customer service issues.
• Provides external and internal customers with requested information.
• Receives and places follow-up telephone calls/e-mails to answer routine customer questions under immediate supervision.
• Uses computerized systems for tracking, information gathering, and troubleshooting.
• Verifies member information and inputs data for the pharmacists.
• Educates members on pharmacy-based rules related to prescriptions and medication resources or assistance programs.
• Processes prior authorization requests from physicians' offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations.
• Provides resolution to grievances and appeals issues.
• Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits.
• Generates reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports.
• Maintains record keeping of prior authorizations, rebates, and monthly reports.

Requirements

• High school diploma or equivalent required.
• Up to 1 year of previous experience in an automated customer service environment, or any combination of education and experience that would provide an equivalent background.
• Current State Pharmacy Tech Certification or National Certification based on applicable state(s) required.