Pharmacy Technician I - BioPlus Specialty Pharmacy

Elevance Health•Las Vegas, NV

1d•$19 - $28•Onsite

About The Position

The Pharmacy Technician I - BioPlus Specialty Pharmacy is responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues. BioPlus Specialty Pharmacy is a proud member of the Elevance Health family of companies. BioPlus offers consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey.

Requirements

Requires H.S. diploma or equivalent and minimum of 1 year of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
Current State Pharmacy Technician Certification or National Certification based on applicable state(s) required.

Nice To Haves

Specialty Pharmacy experience.
PTCB Certification.
Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Responsibilities

Develops and maintains positive customer relations and coordinates with functions within the company to ensure pharmacy customer requests are handled and resolved appropriately and in a timely manner.
Respond to basic customer questions via telephone and written correspondence regarding pharmacy retail and mail order prescriptions.
Supports and guides the pharmacy customer with their personal options and decisions and helps the customer become knowledgeable and confident about using technology, tools and resources available to them.
Verifies member information and inputs data for the pharmacists.
Educates members on pharmacy based rules related to prescriptions and medication resources or assistance programs.
Processes prior authorization requests from physicians' offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations.
Provides resolution to grievances and appeals issues.
Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits.
Generates reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports.
Maintains record keeping of prior authorizations, rebates, and monthly reports.