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JOB TITLE: Provider Support Representative (PSR)/Pharmacy Technician – Temporary/Full-Time
JOB SUMMARY:
The PSR is responsible for all functions related to on-phone pharmacy provider services. The PSR interacts with clients, pharmacies, and others to resolve pharmacy provider related problems.
Responsibilities includes:
- Performs prior authorization(PA) and both electronic and manual claims processing based on program guidelines
- Validates Drugs and formulary usage
- Uses institution’s online system to validate and follow-up on claims adjustments, suspensions and Prior Authorizations (PA)
- Supports other departments as needed
- Processes and acts as liaison between pharmacies, clients, and Sponsors for pharmacy related exceptions
- Maintains databases for recording, managing, and monitoring patient, pharmacy, and Sponsor related cases requiring PBM related support
This positions requires a pharmacy technician with solid written and verbal communication skills, positive interpersonal skills, listening skills, with ability to exercise good judgment and work well independently and as a team member.
Licensed Pharmacy Technician with three plus years’ pharmacy or pharmacy benefit management experience, ideally in a 340B pharmacy environment preferred.
Please email your resume to: cdominguez@ramsellcorp.com