Costa Mesa, CA - Pharmacy Technician Prior Authorization

The essential functions of a Pharmacy Technician in Prior Authorization are providing expertise and customer service support to members, customers, and/or providers. This position exists to take incoming requests for prior authorizations, for formulary and non-formulary medications, while ensuring a high level of customer service and maximizing productivity. Request can be received via fax or telephone, from providers' offices and pharmacists. The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs). The technician must provide the information clearly, accurately and in a professional manner. Interactions with callers must be documented per contractual and various regulatory / legal requirements.

Responsibilities:

Using established criteria and guidelines, the pharmacy technician receives, and processes prior authorization requests made by providers and members for medications not inherently covered on a member's prescription drug plan.
Answer prior authorization inquiry calls or/and faxes as well as research and resolve formulary and benefit issues using the appropriate reference material.
Resolve issues and complaints in a timely manner.
Performs other duties as assigned by management.
Handles inbound phone requests and gathers member data to provide information for Pharmacist consultations.


Additional Information:

Training is for 4 weeks. Training time is 8:00am-5:00pm. Monday- Friday. This training time is subject to change.
Shifts after training are 8 hour shifts with an hour lunch. Candidate must be available as early as 6am and as late as 10pm.
Candidate will work 5 days a week which may or may not include a weekend day(s).
Flexibility with working Holidays and Overtime is possible, but it is dependent on business needs. (Up to 4hrs a day for OT).
Excellent Attendance is a must


If you are interested in this Pharmacy Technician in Prior Authorization job in Costa Mesa, CA area then please click APPLY NOW. For other opportunities available at Adecco Medical and Science go to www.adeccousa.com or email your resume to Teresa.Hart@adeccona.com or call 585-613-3033.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled.

The essential functions of a Pharmacy Technician in Prior Authorization are providing expertise and customer service support to members, customers, and/or providers. This position exists to take incoming requests for prior authorizations, for formulary and non-formulary medications, while ensuring a high level of customer service and maximizing productivity. Request can be received via fax or telephone, from providers' offices and pharmacists. The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs). The technician must provide the information clearly, accurately and in a professional manner. Interactions with callers must be documented per contractual and various regulatory / legal requirements.

Responsibilities:

Using established criteria and guidelines, the pharmacy technician receives, and processes prior authorization requests made by providers and members for medications not inherently covered on a member's prescription drug plan.
Answer prior authorization inquiry calls or/and faxes as well as research and resolve formulary and benefit issues using the appropriate reference material.
Resolve issues and complaints in a timely manner.
Performs other duties as assigned by management.
Handles inbound phone requests and gathers member data to provide information for Pharmacist consultations.


Additional Information:

Training is for 4 weeks. Training time is 8:00am-5:00pm. Monday- Friday. This training time is subject to change.
Shifts after training are 8 hour shifts with an hour lunch. Candidate must be available as early as 6am and as late as 10pm.
Candidate will work 5 days a week which may or may not include a weekend day(s).
Flexibility with working Holidays and Overtime is possible, but it is dependent on business needs. (Up to 4hrs a day for OT).
Excellent Attendance is a must


If you are interested in this Pharmacy Technician in Prior Authorization job in Costa Mesa, CA area then please click APPLY NOW. For other opportunities available at Adecco Medical and Science go to www.adeccousa.com or email your resume to Teresa.Hart@adeccona.com or call 585-613-3033.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled.

  • Apply with Adecco

Reference number US_EN_2_106405_333864