Job Description

• Schedule: Monday to Friday, 8:30 am to 5 pm. Saturday availability based on business needs.
• Position Type: On-site
• Job Purpose: Responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues.
• This is a member-facing position, so flu and COVID vaccinations are required.

Primary Duties:

• Verify member information and input data for the pharmacists.
• Educate members on pharmacy-based rules related to prescriptions and medication resources or assistance programs.
• Process prior authorization requests from physicians' offices and ensure compliance with Medicare requirements; inform relevant parties of all prior authorization determinations.
• Provide resolution to grievances and appeals issues.
• Respond to inquiries from physicians, sales team, and members related to formulary and prescription benefits.
• Generate reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports.
• Maintain record-keeping of prior authorizations, rebates, and monthly reports.
• Assist the Pharmacist in reviewing, processing, preparing, filling, labeling, and dispensing medications and supplies.
• Arrange work activities to meet the pharmaceutical needs of customers.
• Answer phones, respond to questions and requests, or refer them to appropriate staff for medication information.
• Maintain records by recording and filling physician’s orders and prescriptions.
• Complete data entry department-related functions, request, and process prior authorizations.
• Maintain a clean and safe pharmacy by complying with procedures, rules, and regulations.
• Communicate effectively with other professionals and support staff to achieve positive customer outcomes.
• Promote and contribute to a positive, problem-solving environment.
• Assist customers, family members, and others with concern and empathy; respect their confidentiality and privacy and communicate with them in a courteous and respectful manner.
• Comply with company policies and procedures and maintain confidentiality of customer medical records in accordance with state and federal laws.
• Ensure compliance with all HIPAA, OSHA, and other federal, state, and local regulations.
• Participate in meetings, training, and in-service education, as required.
• Perform other duties as assigned.

Skills and Qualifications:

• Minimum of a high school diploma or equivalent.
• Valid Registered Pharmacy Technician License in Florida is required.
• Pharmacy Technician Certification Board certificate preferred.
• Minimum one year of experience as a Registered Pharmacy Technician, experience in a retail pharmacy setting preferred.
• Previous experience in a pharmacy environment and familiarity with pharmacy terminology.
• Excellent computer knowledge, including proficiency in Microsoft Office.
• Fluency in Spanish and English is preferred.
• Call center skills required; customer relations experience helpful.
• Must be patient in dealing with an elderly population and sympathetic to hearing or vision deficiencies.
• Excellent listening, interpersonal, verbal, and written communication skills with individuals at all levels of the organization.
• Ability to work effectively independently and in a team environment.
• Must be self-motivated, organized, and have excellent prioritization skills.
• Must be able to work well under stressful conditions and in a fast-paced environment.

Additional Information:

• This is a member-facing position, so flu and COVID vaccinations are required.
• The role involves a hybrid environment between call center tasks and pharmacy fulfillment tasks.
• Two weeks of training will be provided from 8:30 am to 5 pm.
• Possibility of working on Saturdays depending on workflow.
• This is a cleanup effort, so it will not likely convert to a full-time position, but it could be extended if the work is not completed.

Interview Process:

• Two interviews: one phone and one on-site.
• On-site interviews will introduce the workflow, discuss the uniform and details of the first day, and assess where the candidate needs to start training.

Job Tags

Full time, Local area, Saturday, Monday to Friday,

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