TeleMedik

Bilingual

• 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

Bilingual Pharmacy Technician