Pharmacy Technician I/II - Prior Authorization - Wilson Community Health Center

Carolina Family Health Centers•Wilson, NC

6h•$15 - $17•Onsite

About The Position

Come join our “Family” and be part of providing healthcare In the Community…For the Community. Carolina Family Health Centers, Inc. provides accessible and affordable health care with excellence...where patients come first. Regardless of an individual’s ability to pay or their insurance status, we believe that EVERYONE deserves access to quality health care. As a nonprofit, federally qualified health center (FQHC), we strive to meet the needs of our community and breakdown barriers that prevent individuals from seeking health care. Our service offering includes primary medical care, behavioral health, pharmacy and dental services in an integrated model that provides a comprehensive approach to care for our patients. Position Overview The Pharmacy Technician I/II - Prior Authorization at our Wilson Community Health Center is responsible for supporting the collaborative workflow of prior authorizations for Carolina Family Health Centers, Inc.. The Pharmacy Technician I/II - Prior Authorization is an on-site/in-office position with opportunities to grow interpersonal skills with a multidisciplinary team. THIS POSITION OFFERS A 40-HOUR WORKWEEK, NO WEEKENDS, FULL BENEFITS PACKAGE, 12 PAID HOLIDAYS, BI-WEEKLY PAY.

Requirements

High school diploma or equivalent.
Valid North Carolina Driver’s License.
Computer literacy.
Self-directed with good organization skills.
Team player with the ability to work independently.
Excellent verbal and written communication skills

Nice To Haves

Previous pharmacy work experience or community health center experience, preferred.
National Pharmacy Technician certification (CPhT) through the Pharmacy Technician Certification Board (PTCB), preferred.

Responsibilities

Aiding pharmacy and medical teams in the assessment of prescription & EHR messages to determine if a prior authorization is truly needed.
Navigating various online portals and resources related to prior authorizations.
Maintaining knowledge of common payers’ clinical coverage criteria for frequently prescribed medications.
Ensuring accurate submission of required documentation to payers.
Documenting work within EHR and pharmacy software systems.
Tracking prescription authorization processes through to determination.
Communicating updates effectively with patients as well as members of the pharmacy and medical teams.
Troubleshooting denials and collaborating with medical and pharmacy teams to determine next steps for patient access to necessary therapy.
Supporting health center pharmacy workflow through regular participation in medication dispensing activities.
Becoming a trained Medicare counselor through the North Carolina Department of Insurance Seniors' Health Insurance Information Program (NCSHIIP) within 6 months of hire & subsequently counseling patients on Medicare Part D plan options.