Pharmacy Technician (HYBRID)
Our client, a health care company on the leading edge of technology and changing how they interact with patients, is looking for a Pharmacy Technician for their Beaverton, OR location. Technician responsibilities include communicating directly with company Health Plan Customer Service and Members, Network Pharmacies, and regulatory entities at the federal and state level. The position also communicates directly with pharmacists, nurses, physicians, and other health care providers and their staffs regarding medication management programs and initiatives
Contract Duration: 6 Months.
Pay: $24.00 – $29.13/hr. DOE.
Location: Beaverton, OR. (LOCAL REQUIRED)
Schedule: 8AM – 5PM.
Responsibilities:
- Identifying and responding to requests for medical preauthorization which require immediate determination by a Clinical Reviewer or Clinical Pharmacy Coordinator/Pharmacist.
- Administering pharmacy benefits, pharmacy network contracts, and employer group contracts in a manner that achieves PHS goals and objectives while meeting the needs of the individual.
- Coordinates and processes independently pharmacy prior authorizations taking into consideration pharmacy benefits, medication utilization policies, documented technician approval criteria, information submitted by prescriber, and age-related presentation of member requesting.
- Maintains pharmacy benefit member eligibility review process and database. Oversees point-of-service claims transactions processed daily through Argus Health System. Refers unusual occurrences to Argus Analyst/Coordinator.
- Takes, triages and documents incoming calls and requests, identifies and obtains resources for those requiring immediate attention, handles those appropriate through established protocols utilizing appropriate level of assessment and judgment. Routes work to other resources as deemed appropriate. Monitors, retrieves, and prioritizes incoming work as required.
- Performs intake and system data entry of information such as authorization and referral requests, patient information, discharge information, medication therapy management information, drug utilization management information. Uses sound judgment in identifying the need for clinical review or pharmacist/physician intervention by routing to appropriate licensed staff based on guidelines and established protocols/procedures. Maintains the accuracy and integrity of the database.
- Determines and assigns appropriate and correct coding such as length of service, level of care, diagnosis and procedure, and system identifiers. Identifies medical cases for review by using ICD-9 and CPT-4 coding systems.
- Provides technical assistance and coding support to Clinic.
Requirements:
- Preferred Bachelor’s Degree
- 2+ years – Experience as a pharmacy technician in a managed care environment, OR 3 years pharmacy technician experience in an outpatient pharmacy.
- Licensure in Oregon as a Pharmacy Technician upon hire
- Working knowledge of medical terminology, HCPCS, CPT & ICD-9 coding applications.
- Working knowledge of Oregon and Federal pharmacy law, health insurance law, and HIPAA.
- Ability to quickly and accurately perform pharmaceutical calculations.
- Proficiency with Pharmacy Computer systems, Argus Systems, Trizetto systems, and MS Office applications and Outlook.
**We are unable to accommodate corp. to corp. candidates**
About Motus Recruiting and Staffing, Inc:
Founded in 2006, Motus is an award-winning recruiting and staffing firm in the Pacific Northwest, specializing in professional services and technology solutions. We are a group of people who not only recognize the importance of representation, but actively fight for diversity, equity, and inclusion in the recruitment process. Our goal is to educate organizations on the importance of DEI when hiring, promoting, and supporting diverse employees. We are calling organizations to demonstrate their commitment to DEI by being intentional about who they hire. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability or protected veteran status.
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