Pharmacy Technician (Outpatient) PTSS

Job Title:Pharmacy Technician (Outpatient)
Location: Portland OR
Type: Local or Travel Contract (26 Weeks)
Shift & Schedule: Day Shift 5 x 8-Hour Shifts 40 Hours Per Week 8:00 AM 5:00 PM On-Call: 23 Weekends per Year
Pay Rate:
Local: $30 - $34/hr
Travel: $35 - $41/hr Including Stipend (Based on Experience)

Position Overview:

Navitas Healthcare LLC is seeking an Outpatient Pharmacy Technician for an exciting Local or Travel job in Portland OR.

Responsibilities

• Process pharmacy prior authorizations independently using established policies and approval criteria.
• Review pharmacy benefits medication utilization policies and member eligibility information.
• Communicate with members providers pharmacies customer service teams and regulatory agencies regarding pharmacy-related inquiries.
• Serve as a liaison between physicians pharmacists office staff hospitals members and payors to resolve issues and facilitate workflows.
• Perform intake triage documentation and data entry for authorizations referrals medication management programs and utilization reviews.
• Research and resolve pended claims authorizations and incomplete records.
• Audit pharmacy claims documentation and correspondence to ensure accuracy and compliance.
• Assist with coding and review processes utilizing ICD-10 CPT and HCPCS coding systems.
• Authorize pharmacy claims and direct member reimbursements according to established guidelines.
• Analyze data prepare reports and support quality improvement initiatives.
• Maintain confidentiality and compliance with HIPAA state and federal regulations.
• Develop written communications procedures and educational materials for providers pharmacies and health plan members.
• Provide training and technical support regarding pharmacy processes and system usage.
• Utilize pharmacy systems claims processing systems and Microsoft Office applications including advanced Excel functions.

Required Qualifications

• Active Oregon Pharmacy Technician License.
• Advanced Microsoft Excel skills.
• Bachelors Degree preferred or a minimum of 2 years of experience as a Pharmacy Technician in a managed care environment.
• Experience handling prior authorizations and mandatory audits across Medicare Medicaid Commercial Individual and ASO plans.
• Strong knowledge of pharmacy benefits claims processing medication utilization management and health plan operations.
• Working knowledge of medical terminology HCPCS CPT and ICD-10 coding.
• Knowledge of pharmacy billing pharmaceutical calculations and medication management programs.
• Understanding of HIPAA federal and state pharmacy regulations and fraud waste and abuse prevention.
• Excellent verbal written analytical problem-solving and customer service skills.
• Ability to manage multiple priorities and work independently in a fast-paced environment.
• Strong attention to detail and commitment to accuracy.

Preferred Qualifications

• Bachelors Degree.
• Managed care pharmacy experience.
• Experience supporting pharmacy benefit administration and health plan operations.
• Experience with data analysis reporting and quality improvement initiatives.

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 to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.