Clinical Pharmacy Technician I

· Evaluates and authorizes approval of prior authorization 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 and/or pharmacists.

· Researches, resolves and documents prior authorization outcomes in pharmacy system.

· communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician's office staff, medical management staff and/or pharmacists.

· Escalates requests to Pharmacist when request requires extensive clinical review or denial.

· Researches, resolves and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider and/or management.

· performs other duties as required.

Qualifications

· Minimum of 6 months dispensing or retail experience required, or equivalent internal training will be substituted.

· CPT - Certification/licensure in accordance with state requirements.

· PTCB National certification required.

· Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.

· In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).

· Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.

· excellent written and verbal communication skills.

· Ability to follow clinical criteria and instructions to approve prior authorization requests.

· Ability to identify and trouble-shoot problematic issues.

Schedules- SCHEDULE FOR THE FIRST 4 WEEKS OF TRAINING WILL BE: 9AM-530PM.

SCHEDULES AFTER TRAINING - ALL POSSIBLE SHIFTS:

5ppl - Monday - Friday; 9am-530pm (30 min lunch)

3ppl- Tuesday- Saturday 12pm-8:30pm (30 min Lunch)

Feel free to forward my email to your friends/colleagues who might be available. We do offer referral Bonus.

Thank you.

Kind Regards,

Harris Kaushik

Clinical Recruiter

Integrated Resources, Inc.

IT Life Sciences Allied Healthcare CRO

DIRECT # - (732)-844-8715

Gold Seal JCAHO Certified ™ for Health Care Staffing

“INC 5000’s FASTEST GROWING, PRIVATELY HELD COMPANIES” (8th Year in a Row)