Position Summary

At Cloud Rx, the Pharmacy Technician plays a vital role in the healthcare system by facilitating the prior authorization process for prescription medications. The role involves patient interaction, acting as a liaison and educator to provide guidance and support regarding the prior authorization process and medication adherence. Additionally, the Pharmacy Technician is accountable for managing clinic chats to address any queries or concerns related to prior authorizations and our patients.

Essential Duties and Responsibilities

The essential functions include, but are not limited to the following:

• Prior Authorization Process Management: Review prescription orders to identify medications requiring prior authorization. Initiate prior authorization by collecting and verifying patient information and medical history. Collaborate with healthcare providers and insurance companies to submit accurate requests. Ensure completed forms and documentation are attached.
• Patient Liaison/Educator: Assist patients with the prior authorization process. Educate patients on its importance and potential outcomes. Address patient concerns and provide medication options. Coordinate with healthcare providers as needed.
• Clinic Chats Management.
• Data Entry: Perform accurate data entry to update prescription records and patient information, ensuring compliance with regulatory requirements.
• Inbound Calls Management: Manage inbound calls from clients, healthcare professionals, and stakeholders, offering courteous and knowledgeable assistance for inquiries and medication-related concerns. Utilize active listening to address needs or direct calls to the appropriate department.
• Documentation and Compliance: Keep detailed records of prior authorization activities. Comply with pharmacy industry regulations and data protection protocols.
• KPIs Responsibilities; Patient turnaround time, other metrics.
• Other assigned duties.

Minimum Qualifications (Knowledge, Skills, and Abilities)

• Certification as a Texas Pharmacy Technician (CPhT) by an accredited certifying body.
• In-depth knowledge of pharmaceuticals, medical terminology, and the prior authorization process.
• Strong communication and interpersonal skills.
• Excellent organizational abilities to manage prior authorization requests and clinic chats efficiently.
• Proficiency in using relevant pharmacy operating systems.
• Attention to detail.
• Ability to work independently and collaboratively in a fast-paced healthcare environment.
• Commitment to patient care.

Note:

This job description in no way states or implies that these are the only duties to be performed by the employee(s) of this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities.