Anthem Pharmacy Tech I,Virginia Beach, VA (PS4953) in Virginia Beach, Virginia
Anthem, Inc. is one of the nation's leading health benefits companies and a Fortune Top 50 company. At Anthem, Inc., we are working together to transform health care with trusted and caring solutions.
Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people’s lives, and to take your career further than you can imagine.
The Pharmacy Tech I is responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues.
Primary duties may include, but not limited to:
Verifies member information and inputs data for the pharmacists.
Processes prior authorization requests from physicians’ offices and ensures compliance with all Medicare, regulatory and accreditation requirements; informs relevant parties of all prior authorization determinations.
Provides resolution to grievances and appeals issues.
Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits.
Enters and maintains accurate prior authorization records
Document accurate outreach to members and providers
- Refers cases requiring clinical review to a Pharmacist or Medical Director.
- Conducts clinical screening process.