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Remote Pharmacy Technician

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Actalent

9d ago

  • Job
    Full-time
    Entry Level
  • Customer Relations
    Healthcare
  • Orlando

AI generated summary

  • You need a High School Diploma or GED, current state Pharmacy Registration, state certification (PTCB or NHA), and basic computer skills.
  • You will review and process Prior Authorizations, handle inbound calls, resolve prescription issues, enter member info, escalate queries to pharmacists, and perform audits and quality checks.

Requirements

  • High School Diploma or GED
  • Current Pharmacy Registration at resident State
  • Certification as required by state of operation - PTCB or NHA
  • Basic computer skills.

Responsibilities

  • These Technicians are reviewing Prior Authorizations for determination for a Pharmacy Services department a part of a large healthcare insurance company.
  • Must either approve or deny and then send them to a Pharmacists for final review.
  • Handling all health plans, and all types of medications.
  • Handling some phone calls from members - inbound call.
  • Process prescription exceptions which may include: resolving claim rejects and member and physician outreach.
  • Enter member demographics and prescription information into the data processing system.
  • Research and resolve rejected insurance billing issues and/or escalated member issues.
  • Escalate questions regarding prescription to a Pharmacist for interpretation or provide direction on processing.
  • Audit files and perform quality checks.

FAQs

What is the primary responsibility of a Remote Pharmacy Technician at Actalent?

The primary responsibility is to review Prior Authorizations for a Pharmacy Services department, determining whether to approve or deny requests, and send them to a Pharmacist for final review.

What type of education is required for this position?

A High School Diploma or GED is required.

Do I need any certifications to apply for this job?

Yes, you need a current Pharmacy Registration in your resident state and certification as required by the state of operation, such as PTCB or NHA.

Will I have to interact with members?

Yes, you will handle some inbound phone calls from members.

What type of medications will I be dealing with?

You will be handling all types of medications across all health plans.

What skills are necessary for this role?

Basic computer skills are necessary for processing prescription information and entering member demographics into the data processing system.

How does Actalent promote diversity and inclusion?

Actalent promotes diversity and inclusion by hiring diverse talent, maintaining an inclusive environment, building a culture of care and recognition, and ensuring growth opportunities for all employees.

Is there a process for requesting accommodations?

Yes, if you require a reasonable accommodation due to a disability, you can email actalentaccommodation@actalentservices.com for options.

What types of issues will I be resolving in this position?

You will be responsible for researching and resolving rejected insurance billing issues and escalated member issues.

What is the company policy on equal opportunity employment?

Actalent is an equal opportunity employer and considers all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law.

An Engineering and Sciences Services Company | People to Possible

Human Resources
Industry
5001-10,000
Employees

Mission & Purpose

Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We’re supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent’s global footprint and flexible delivery models ensure access to specialized talent where and when you need it. We promote consultant engagement through professional development and provide experiences to ensure continuous learning. Our people are the difference. Our expertise spans capabilities in engineering including product and manufacturing, systems and software, construction management, environmental, architecture and civil; and power and utilities. We focus on sciences capabilities in laboratory sciences, healthcare, and clinical research. Actalent is an operating company of Allegis Group, the global leader in talent solutions.