Job Description
Job Description:
The Pharmacy Technician is responsible for guiding providers and insured members regarding medication rejections, prior authorizations, duplicate therapies, among other matters.
Essential Functions:
Receive calls from community pharmacies for medication authorization requests.
Process medication authorization requests according to the health care insurer’s authorized lists.
Consult the Pharmacist regarding medication authorization requests, if necessary.
Use computer systems according to the received calls (e.g., Facets, PICA, Caremark, WHI, etc.).
Receive prescriptions via fax, forward them to the health care insurer, and deliver a copy to the supervisor.
Document received calls including the caller’s name, time, member contract number, drug name, and call process.
Ensure confidentiality and compliance with all applicable state and federal regulations for Health Call Centers, including HIPAA and internal policies for the disposal of confidential information.
Immediately notify the supervisor of any exposure to Protected Health Information.
Comply with core trainings and all procedures established by regulatory agencies and contractual requirements.
Requirements:
Pharmacy Technician degree
One (1) year of experience handling medications
Valid license and registration to practice in Puerto Rico
Customer service experience
Experience using computer systems
Excellent verbal and written communication skills
Fully bilingual (English and Spanish)
Availability for rotating 8-hour shifts, 24/7 (including weekends and holidays). Shift differential pay is provided
What are the benefits of joining our team?
Christmas Bonus, as established by law
Health and Life Insurance
401(k) Retirement Plan
Paid leave benefits
1 Personal Day
1 Birthday Day Off
On-the-job training in regulatory and healthcare topics
24/7 Telemedicine Service
Free Employee Health and Wellness Programs
Opportunities for professional growth and development
Contribute to the health and well-being of the population
Position Type: Full-time / Regular Contract
Work Location: Hybrid remote in Guaynabo or Mayagüez, PR (requires fully in-person training)
We look forward to receiving your application!
EQUAL OPPORTUNITY EMPLOYER – (EEOC)
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