Credentialing and Administrative Support Specialist
Vail Health
Bilingual Pharmacy Technician
TeleMedik
full-time
Posted on:
Origin: • 🇵🇷 Puerto Rico
Visit company websiteSalary
💰 $12 - $13 per hour
Job Level
Junior
About the role
- Guide providers and insured members regarding medication rejections, prior authorizations, duplicate therapies, among other matters
- Receive calls from community pharmacies for medication authorization requests
- Process medication authorization requests according to the health care insurer’s authorized lists
- Consult the Pharmacist regarding medication authorization requests, if necessary
- Use computer systems according to the received calls (e.g., Facets, PICA, Caremark, WHI, etc.)
- Receive prescriptions via fax, forward them to the health care insurer, and deliver a copy to the supervisor
- Document received calls including the caller’s name, time, member contract number, drug name, and call process
- Ensure confidentiality and compliance with all applicable state and federal regulations for Health Call Centers, including HIPAA and internal policies
- Immediately notify the supervisor of any exposure to Protected Health Information
- Comply with core trainings and all procedures established by regulatory agencies and contractual requirements
Requirements
- Pharmacy Technician degree
- One (1) year of experience handling medications
- Valid license and registration to practice in Puerto Rico
- Customer service experience
- Experience using computer systems (e.g., Facets, PICA, Caremark, WHI, etc.)
- Excellent verbal and written communication skills
- Fully bilingual (English and Spanish)
- Availability for rotating 8-hour shifts, 24/7 (including weekends and holidays)
- Availability for fully in-person training
