Outpatient Pharmacy Technician OPTDS

Job Title: Outpatient Pharmacy Technician

Location: Portland OR

Contract Duration: 26 Weeks

Schedule:
Day Shift 5x8 Hours
8:00 AM 5:00 PM
40 Hours per Week

Profession: Pharmacy
Specialty: Outpatient Pharmacy Technician

Position Overview:
Seeking an experienced Outpatient Pharmacy Technician to support pharmacy operations prior authorization processes pharmacy benefits administration and claims review activities. The ideal candidate will possess strong analytical abilities advanced Excel skills and experience working in a fast-paced managed care environment.

Responsibilities:
Process and coordinate pharmacy prior authorizations independently
Review pharmacy benefits medication utilization policies and member eligibility
Handle incoming calls and route urgent matters appropriately
Communicate with members providers pharmacies and internal departments regarding claims and authorizations
Perform accurate data entry claims processing and documentation
Research and resolve pended claims authorizations and incomplete records
Maintain compliance with HIPAA and healthcare regulations
Audit pharmacy claims and documentation for quality assurance
Assist with reporting data analysis and workflow improvement initiatives
Provide technical support and education regarding pharmacy systems and processes
Monitor for fraud waste and abuse concerns according to policy
Utilize pharmacy systems claims platforms and Microsoft Office applications effectively

Requirements:
Active Oregon Pharmacy Technician License required
Minimum 2 years of pharmacy technician experience preferred
Advanced Microsoft Excel skills required
Experience with prior authorizations and pharmacy claims review preferred
Knowledge of HCPCS CPT ICD-10 coding and pharmacy billing processes required
Strong analytical organizational and problem-solving skills required
Excellent communication and interpersonal skills required
Ability to manage multiple priorities in a fast-paced environment required
High attention to detail and accuracy required
Knowledge of HIPAA and healthcare compliance standards required
Bachelors Degree or equivalent related experience preferred

For more details contact ator Call / Text at.

About Navitas Healthcare LLC:It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical Clinical and Non-Clinical services tonumeroushospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not beblindsidedand your salary will be discussed upfront.