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 physician’s 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

Requires a current active, valid unrestricted professional license, if required by state law
State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements, to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States
Requires a HS diploma or equivalent
Minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background
Bilingual (Spanish) skills required
Must be able to pass a validated language test/assessment

Pharmacy Technician II – Bilingual

Key skills