Be Part of an Extraordinary Team.BioPlus Specialty Pharmacy is now part of CarelonRx, and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey.The Pharmacy Technician I is responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues.Location: Onsite 5 days/week at BioPlus Specialty Pharmacy 370 Northlake Blvd. Altamonte Springs, FL 32701How you will make an impactPrimary duties may include, but are not limited to:
Verifies member information and inputs data for the pharmacists.
Educates members on pharmacy based rules related to prescriptions and medication resources or assistance programs.
Processes prior authorization requests from physicians offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations.
Provides resolution to grievances and appeals issues.
Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits.
Generates reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports.
Maintains record keeping of prior authorizations, rebates, and monthly reports.
Minimum Requirements:
Requires High School diploma or equivalent and minimum of 1 year of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
Current State Pharmacy Tech. Certification or National Certification based on applicable state(s) required.
Preferred Skills, Capabilities, and Experience:
Specialty Pharmacy experience preferred.
National Certification preferred.