Pharmacy Technician II - Bilingual

Elevance Health•Atlanta, GA

3d•Hybrid

About The Position

The Pharmacy Technician II-Bilingual interprets and enters moderately complex prescriptions, processes prior authorizations, and troubleshoots adjudication issues. The position is primarily virtual, with in-person training sessions required; candidates generally must live within a reasonable commuting distance of a posting location unless an accommodation is granted. The schedule is an eight-hour shift from 12:00 p.m. to 8:30 p.m. EST, Monday through Friday. Additional hours, including weekends or holidays, may be required based on operational needs. The role supports pharmacists and members by verifying member information, explaining prescription-related rules and medication resources, and responding to questions about formularies and prescription benefits. It also handles prior authorization determinations, grievance and appeal issues, reporting, and record keeping.

Requirements

Current, active, valid, unrestricted professional license if required by state law, and state Pharmacy Technician Certification or national certification as applicable to state or territory requirements.
For the CPCC business area, a current Pharmacy Technician license and national certification are required.
High school diploma or equivalent and at least 2 years of pharmacy experience, or an equivalent combination of education and experience.
Bilingual Spanish or multilingual skills; must pass a validated language test or assessment.

Nice To Haves

Call center experience preferred.
PTCB certification strongly preferred.
For URAC-accredited areas: strong oral, written, and interpersonal communication, problem-solving, facilitation, and analytical skills.

Responsibilities

Verify member information and enter data for pharmacists.
Educate members about pharmacy rules related to prescriptions and medication resources or assistance programs.
Process prior authorization requests from physician offices, ensure compliance with Medicare requirements, and inform relevant parties of determinations.
Provide resolution to grievance and appeal issues.
Respond to inquiries from physicians, the sales team, and members about formularies and prescription benefits.
Generate reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc needs.
Maintain records of prior authorizations, rebates, and monthly reports.
Interpret and enter moderately complex prescriptions and troubleshoot adjudication issues.