Pharmacy Service Tech I

Title: Pharmacy Service Tech I

Duration: 3+ Months (Possible extension)

Location: Philadelphia, PA, 19113

Responsibilities:

Under the general supervision of the Supervisor of Pharmacy Prior Authorization Technicians, the Pharmacy Services Technician I assists in the prior authorization process.

· Reviews and approves physician inquiries for pre-authorization and medical necessity requests based on established pharmacy guidelines and contract criteria.

· Supports Fraud and Abuse program system oversight by reviewing medication utilization records.

· Communicates any suspected fraud discovered.

· Recommends course of action for providers where patterns appears outside of guidelines and generally accepted pharmacy standards.

· Keeps abreast of industry trends and regulatory changes in the pharmacy industry and incorporates knowledge in the performance of job duties.

· Identifies problems in process/procedures or services and makes recommendations for improvements.

· Maintains a balance of productivity, quality and timeliness of job accountabilities.

· Participates in department self-audit procedures for on-going evaluation of service.

· Maintains and updates internal databases.

· Enters application information, prior authorizations and other relevant data. Ensures database information and appended files are current and accessible to staff.

· Generates reports and other information requested on a scheduled/as needed basis.

· Creates and supports an environment which fosters teamwork, cooperation, respect and diversity. Establishes and maintains positive communication and professional demeanor with employees and clients at all times.

· Performs other related duties as assigned.

· Attends required training on an annual basis.

Position Qualifications/Requirements:

Education and Training:

· High School Graduate or GED equivalent required

Experience:

· Minimum 2 years previous pharmacy experience

· Minimum 35 words per minute typing speed

Licenses, Registrations or Certifications

· Current Pharmacy technician certification (PTCB or NCCT)

· High School Graduate or GED equivalent: Required

· Pharmacy Experience: Required: 2 Years

· Minimum 35 words per minute typing speed: Required.

If you are not interested in looking at new opportunities at this time I fully understand. I would in that case be appreciative of any referrals you could provide from your network of friends and colleagues in the industry. We do offer a referral bonus that I’d be happy to extend to you if they turn out to be a great fit for my client.

Thank you for your time and for consideration. I look forward to hearing from you.

Kind Regards

Sumit Agarwal

732-902-2125