Job Description
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:
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Receive calls from community pharmacies for medication authorization requests.
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Process medication authorization requests according to the health care insurer’s authorized lists.
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Consult the Pharmacist regarding medication authorization requests, if necessary.
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Use computer systems according to the received calls (e.g., Facets, PICA, Caremark, WHI, etc.).
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Receive prescriptions via fax, forward them to the health care insurer, and deliver a copy to the supervisor.
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Document received calls including the caller’s name, time, member contract number, drug name, and call process.
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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.
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Immediately notify the supervisor of any exposure to Protected Health Information.
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Comply with core trainings and all procedures established by regulatory agencies and contractual requirements.
Requirements:
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Pharmacy Technician degree
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One (1) year of experience handling medications
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Valid license and registration to practice in Puerto Rico
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Customer service experience
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Experience using computer systems
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Excellent verbal and written communication skills
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Fully bilingual (English and Spanish)
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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?
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Christmas Bonus, as established by law
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Health and Life Insurance
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401(k) Retirement Plan
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Paid leave benefits
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1 Personal Day
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1 Birthday Day Off
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On-the-job training in regulatory and healthcare topics
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24/7 Telemedicine Service
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Free Employee Health and Wellness Programs
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Opportunities for professional growth and development
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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)