Job Description

Job Title: Pharmacy Technician
Job Description
The Pharmacy Technician supports pharmacy operations including prior authorizations, formulary management, claims processing, audit/recovery, and Medicare Part D/Part B programs. This role partners with pharmacists, providers, and members to ensure accurate, compliant, and timely handling of pharmacy benefits.
Responsibilities
Review and process prescription drug and pharmacy benefit requests in accordance with guidelines
Support prior authorizations, coverage determinations, and appeals processing
Research and resolve issues related to claims, benefits, and formulary coverage
Maintain and update formulary data, including change requests and audits
Perform pharmacy audit and recovery activities, including claim discrepancy review
Communicate with providers, pharmacies, and members via phone, fax, and email
Document activities accurately in clai...
            

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Remote Pharmacy Technician - Prior Authorization

Job Description

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