Sentences with phrase «pharmacy authorization process»

Use experience of retail pharmacy and the pharmacy authorization process to promote sound and timely pharmacy care.

Not exact matches

Two to five years of related experience and / or training in pharmacy prior authorization and pharmacy technician processes in a managed care setting is required.

Knowledge of pharmacy workflow from prescription to claims submission and authorization request processing

• Assist physician in exam rooms • Escort patients to exam rooms, measure vital signs, including weight, blood pressure, pulse, temperature, and document all information • Ensure all related reports, labs and information is filed is available in patients» medical records prior to their appointment • Take telephone messages and provide feedback and answers to patient / physician / pharmacy calls • Triage and process messages from patients and front office staff to physicians and physician assistants • Prior Authorizations Knowledge Medical assistants must have knowledge of: • Healthcare field and medical specialty • Medical terminology • Knowledge of EHRs (if applicable) Requirements • Exceptional customer service and phone etiquette • Ability to maintain effective and organized systems to ensure timely patient flow • The ability to perform phlebotomy and administer injections • High school diploma • Medical assistant certification

* Analyze, evaluate and work to resolve customer inquiries and issues * Interact with customers in a courteous and professional manner * Effectively communicate issues and resolutions to customers and appropriate internal staff * Use judgment and problem - solving skills to solve customer problems * Use multiple screens of information simultaneously to address customer needs * Follow processes according to contact center standards to ensure contact handling accuracy and operational effectiveness * Use technology tools as directed and within established guidelines * Adhere to precise work schedules, taking continuous phone calls for extended periods of time * Answer prior authorization inquiries calls as well as research and resolve formulary and benefit issues * Consistently meet established productivity, schedule adherence, and quality standards * Performs other duties as assigned by management Education / Experience: * High School Diploma or equivalent * Minimum one (1) year current / recent Pharmacy Technician experience in healthcare setting * PTCB Pharmacy Certification required or ability to obtain within six - months of employment

PA Reps for staff development and growth opportunities * Plan, assign, and direct work, appraise performance, reward and discipline employees, address complaints and resolve problems within the team * Assist in the hiring process * Assist in the preparation of performance reviews * Deliver performance reviews in conjunction with the Prior Auth Manager * Meet monthly with each staff member to go over performance status * Assist with training as needed * Lead weekly Team meetings with staff to keep them informed of changes to policy and procedures and corporate communications * Meet with the Prior Authorization Management team weekly to report on clinical call center performance and personnel issues Required Qualifications: * High School Diploma or equivalent * Current and unrestricted Pharmacy Technician license * 2 years» experience supervising Pharmacy Technicians in a Call Center environment * Prior Authorization experience * Knowledge of the Pharmacy Benefit Management and / or Health Insurance * Knowledge of Call Center industry through work experience and as obtained through related courses * Proficient in Microsoft Word and Excel Preferred Qualifications: * Bachelors» Degree * PBM experience * National Pharmacy Technician Certification Required Competencies: * Must have strong leadership and problem solving skills * Strong written and verbal communication skills * Strong interpersonal skills * Ability to effectively present information and respond to questions from groups of associates, managers and clients * Ability to comprehend ACD statistical reporting and apply it to the operation of the department * Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form * Ability to maintain a high level of consistency while working with team members * Ability to recognize the needs of the staff, heighten morale, and decrease stress and burnout * Ability to understand what style of conflict resolution is best suited for a particular situation * Ability to determine the needs of each individual team member and assist them in achieving set goals * Demonstrate a clear understanding of company and client confidentiality * Excellent organizational skills * Exemplary coaching / motivational skills at both an individual and team level * Adaptable and able to move with change while maintaining a positive attitude and strong role model for the Team.

Under the supervision of registered pharmacists, the Pharmacy Technician is responsible for providing appropriate support for the safe management, processing, distribution, authorization, billing, receiving, stocking and packaging of prescription medications and over the counter products.

The Pharmacy Technician receives and inputs prescriptions, prices, prepares, adjudicates, fills and processes the check - out and / or shipment of prescriptions, processes any insurance claims, prior authorization and patient assistance program paperwork, and helps with inventory management.

2 + years retail, mail order, long - term care hospital experience as a Pharmacy Technician - includes experience in dealing with: - Insurance benefits authorization - Prior Authorization approvals - Adjudications issues - Coverage verification - Reimbursement issues - Claim processing - Data entry of prescriptions - Dispensing prescriptions, 2 + years customer service experience in an organization providing superior customer service handling: - Outbound calls to customers, doctor offices, third party administrators, coordinating insurance billing, verifying coverage, resolving insurance coverage issues, and obtaining prior authorizatiauthorization - Prior Authorization approvals - Adjudications issues - Coverage verification - Reimbursement issues - Claim processing - Data entry of prescriptions - Dispensing prescriptions, 2 + years customer service experience in an organization providing superior customer service handling: - Outbound calls to customers, doctor offices, third party administrators, coordinating insurance billing, verifying coverage, resolving insurance coverage issues, and obtaining prior authorizatiAuthorization approvals - Adjudications issues - Coverage verification - Reimbursement issues - Claim processing - Data entry of prescriptions - Dispensing prescriptions, 2 + years customer service experience in an organization providing superior customer service handling: - Outbound calls to customers, doctor offices, third party administrators, coordinating insurance billing, verifying coverage, resolving insurance coverage issues, and obtaining prior authorizationauthorization approvals.

• Provide courteous customer service to the public, both in - person and on the telephone • Register new patients in the pharmacy computer system • Update insurance and demographic information for existing patients as needed • Process prescription and immunization claims through insurance • Request prior authorizations for medications not covered by patient insurance plans • Fill prescriptions in a timely manner and collect patient co-pays at the register • Work both independently and with other team members to meet customer needs • Follow all HIPAA confidentiality guidelines.