Pharmacy Technician
- Job ID:202185
- Date:05/09/2008
- Location:Cypress
- State:California
- Salary:Not Specified Why?
- Job Types:
-
Pharmacy Technician
Job Description
Prescription Solutions helps consumers obtain the medications and products they need to live healthier lives. The company is part of Ovations, a family of UnitedHealth Group businesses dedicated to improving the health and well-being of Americans ages 50 and older.
Responsible for various activities related to the filling of prescriptions in mail order environment or the placement of outbound calls related to prescriptions with hold orders. Works on assignments that are semi-routine in nature where ability to recognize deviation from accepted practice is required. Normally receives general instructions on routine work, detailed instructions on new assignments.
May perform any or all of the following duties:
Answers incoming calls; assists customers/pharmacies/physicians with orders and reorders, benefit eligibility questions and prescription status inquiries.
Escalates drug related calls to appropriate pharmacist.
Assist pharmacies and members on all issues related to processing of pharmacy claims.
Determines appropriateness of overriding pharmacy claims edits and error messages.
Reviews, audits and processes direct member reimbursements.
Coordinates internal resolution of claims exceptions and other issues.
Initiates correspondence with members regarding claims rejections and other benefit interpretation.
Makes outbound calls on prescriptions with hold orders and payment issues.
May also assist in logging in of new prescription orders.
Educates customers on benefits, use of plan, formulary, premiums and status of orders, claims or inquiries.
Other duties as assigned.
Qualifications
Pharmacy Technician License required, or previous technician experience required.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.
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