Actalent
Camden, SC, USA
As a Pharmacy Technician, you will be responsible for tracking and triaging coverage determination requests submitted by providers and determining whether a pharmacist review is required. You will play a key role in obtaining verbal authorizations, requesting detailed clinical information from prescribers, and approving coverage determination requests based on defined criteria. Responsibilities Track and triage coverage determination requests from providers. Determine if pharmacist review is required for requests. Obtain verbal authorizations and request detailed clinical information from prescribers. Approve coverage determination requests based on defined criteria. Enter and document coverage determination request decisions into the PBM system. Notify providers and/or members of coverage determination request decisions. Respond to client inquiries regarding authorization approvals and PBM online applications. Refer coverage...


