Pharmacy Technician III

Pharmacy Technician III (Pre-Authorization, Retail)

HUP, Pharmacy 

Summary:

Obtain pre-certification and referrals for inpatient and same day encounters. Verification of benefits and pre-certify selected outpatient registrations. Provide specialized support in the areas of insurance and billing information. Support the representatives solving problems and answering questions. This position will ensure access to integrated health care; achieve clinically appropriate authorization to assure optimal reimbursement for the hospital for services provided.

Requirements:

• High school diploma required. Bachelor's Degree preferred.
• CPhT Certification required.
• 3-5 years of experience in a community-based retail or hospital outpatient pharmacy environment or a financial coordinator.
• Additional experience in obtaining pre-certification in the community retail setting is preferred.
• Demonstrated proficiency and process knowledge of outpatient prescription program payer/PBM billing, issue resolution, and payment processes—including Prior Authorization and Claim Exception Facilitation.
• Understanding and process knowledge of Medicare Part B billing in a retail pharmacy setting (e.g. Part B vs. Part D drug billing).
• Demonstrated computer literacy-including Word/Excel capabilities.
• Available to work rotating and flexible schedules.
• Excellent verbal and written skills.
• Maintains professional appearance.
• Strong organizational, record-keeping, and time management skills are essential.
• Consistently demonstrates a high degree of customer service skills.

When applying to this position, please upload your current pharmacy technician certification.