Item Entry Technician - Specialty Pharmacy

WellDyne

Posted 2 months ago

Full Time

Lakeland, Florida

In Person

Smart Summary

Responsibilities

The Item Entry Technician facilitates front-end prescription processing, including intake, order setup, and claims adjudication. They also manage prior authorization requests and ensure patient profiles are accurately maintained.

Qualifications

You have a High School Diploma or equivalent and a minimum of one year of pharmacy experience. You are a Certified and Registered Pharmacy Technician in good standing (Colorado required, Florida certification preferred) and can type 25 words per minute with the ability to enter 30 prescriptions per hour.

Must Have Skills for ATS

Pharmacy Technician

HIPAA

Prescription Entry

Claims Adjudication

Prior Authorization Management

Fax Management

ePrescription Management

Job Description

At our company, we move fast, adapt quickly, and turn challenges into opportunities—all while keeping quality at the heart of everything we do. We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable. 

Our Vision:  

Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential. 

 Our Mission:  

To be the disruptive force that drives meaningful change within pharmacy services. 

  Summary Under the direction of the Pharmacy Supervisor, facilitates all aspects of front-end prescription processing including prescription intake, order setup, and RX setup.  Will assist with claims adjudication, prior authorization management and other responsibilities as necessary.    Shift: Monday to Friday 9:30am to 6pm 

Essential Duties & Responsibilities

  • Primary function is to perform RX Setup/RX Entry functions
  • Assists the intake process primarily through management of the inbound fax queue and the ePrescription manager.
  • Facilitates proper establishment of the patient profile including demographics, insurance, clinical elements, diagnosis and more.
  • Assists with the adjudication of new and refill prescriptions by managing the Claims to Adjudicate queues.
  • Assists with resolutions involving rejected claims.
  • Assist in managing the prior authorization process to include, but not limited to, initiating prior authorization requests, working with providers to correctly submit prior authorization requests, follow up on status of pending prior authorization requests and more.
  • Assist in the renewal of prescriptions
  • Assist in managing the processing time of new patient referrals and new prescription orders
  • Perform routine, professional pharmacy functions.
  • Respect and maintain confidentiality guidelines of HIPAA.
  • Follow and aid in enforcement of all company policies and procedures.
  • Responsible for other duties as assigned

Education and Experience

  • Certified and Registered Pharmacy Technician, (Colorado) in good standing required
  • High School Diploma or equivalent
  • Registered with the State of Florida (Florida techs only) in good standing required, certification preferred
  • One year minimum of pharmacy experience

Knowledge, Skills, and Abilities

  • Ability to type 25 words per minute.
  • Ability to enter 30 prescriptions per hour.
  • Attention to detail.
  • Ability to handle multiple activities or interruptions at once.
  • Ability to communicate effectively, patiently and courteously.
  • Focused team player, who can work in conjunction with pharmacists, other departments, customers, and management.
  • Work independently with little supervision and meet daily deadlines.
  • Ability to perform repetitious work accurately.
Work Environment / Physical Demands

This position is in a typical office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Some travel may be required. 

 EOE M/F/D/V – WellDyne and HealthDyne are equal opportunity employer and prohibits discrimination of any kind. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected status under federal, state, or local law. 


WellDyne

Industry leaders and clinical experts are writing the WellDyne story, stepping outside the traditional PBM model to better serve clients and members. In today’s complex, ever-changing healthcare environment, there has never been a more important time to make pharmacy benefits work harder and deliver more value. Our bold approach, backed with 25 years of experience, drives our commitment to be a positive force in making medications more affordable, effective and accessible to the people who need them. With bold ideas and flawless execution, we are determined to remove obstacles and solve issues that stand in the way of better pharmacy care. With locations in Lakeland, FL and Centennial, CO, we are engaging patients to embrace the power of medications to manage their health conditions while empowering pharmacy benefit plans with analytics and insights. We are always looking for dedicated individuals who want to join our dynamic team. As a leading pharmacy benefit management (PBM) company, we leverage technology, data analytics, clinical programs and personalized engagement to engage patients for improved outcomes – particularly in the high-cost area of specialty pharmacy. We are proud of our people and our accomplishments, and are especially pleased to be recognized as a Best Place to Work by CareerSource Polk. This honor, announced in August 2019, recognizes our accomplishments in motivating and retaining workers, providing training and development initiatives, and fostering a healthy work/life balance. Better Begins Today. To learn more about our company and career opportunities, please visit www.WellDyne.com.
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