Logo of Huzzle

Remote Pharmacy Technician

image

Actalent

2d ago

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

AI generated summary

  • You need a High School Diploma or GED, current Pharmacy Registration, state-required certification (PTCB/NHA), and basic computer skills.
  • You will review Prior Authorizations, process prescriptions, handle inbound calls, resolve billing issues, enter data, and perform audits while collaborating with Pharmacists for guidance.

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 determination within a Pharmacy Services department and to either approve or deny them before sending them to a Pharmacist for final review.

What qualifications are required to apply for this position?

Applicants must have a High School Diploma or GED, current Pharmacy Registration in their resident state, and certification as required by the state of operation (PTCB or NHA).

Will I be handling phone calls in this position?

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

What tasks will I be responsible for regarding prescription exceptions?

You will process prescription exceptions, which may include resolving claim rejects and outreach to members and physicians.

Is there any computer skills required for this job?

Yes, basic computer skills are required for the position.

How does Actalent prioritize diversity and inclusion?

Actalent prioritizes diversity and inclusion by hiring diverse talent, maintaining an inclusive environment, building a culture of care, providing growth opportunities for employees, and engaging in persistent self-reflection.

What types of medications will I be handling in this role?

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

What kind of issues will I be resolving in this role?

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

Is this position an equal opportunity employer role?

Yes, Actalent is an equal opportunity employer and considers all applications without regard to factors protected by law.

How can I request a reasonable accommodation for the application process?

You can request a reasonable accommodation by emailing actalentaccommodation@actalentservices.com for alternative options.

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.