Call Center Pharmacy Claims Technician Jobs in Texas

2+ years of relevant experience as a pharmacy technician in managed care, insurance, or pharmacy benefit management

Ensure compliance with HIPAA/PHI protocols and requirements.

Complete approval process for straightforward cases, without requiring clinical judgement.

Conduct initial reviews of prior authorization submissions from providers or pharmacies.

Maintain effective communication with providers regarding authorization status and other inquiries.

Handle incoming calls, providing prompt and accurate resolution using available resources.

Ensures medication management processes meet all legal and regulatory requirements.

Sterile Compounding Certification accredited by the Accreditation Council for Pharmacy Education (ACPE).

Communicates when products need to be reordered. Manages drug supplies in a cost-effective manner and identifies opportunities to minimize waste.

National certification through National Healthcareer Association (NHA) or Pharmacy Technician Certification Board (PTCB).

Essential Job Functions & Accountabilities:

Tracks prescription orders via pharmacy programs to ensure correct delivery information is given to patients.

Basic computer data entry skills preferred and typing approximately 30 wpm

Pharmacy Technician PTCB Certification preferred

Organization and accurate record keeping skills

Equal Opportunity Employer-Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity.

High School Diploma or GED is required

Completed an ASHP accredited pharmacy technician-training program is preferred