Aetna Pharmacy Technician III in Orlando, Florida

Req ID: 50187BR

POSITION SUMMARY

Pharmacy Technician III acts as a resource in the processing of prescription orders addressing complex and/or escalated issues requiring understanding of the interactions, dependencies and operations of the facility. Functional areas include prescription order entry, failed claims, returns/reships and /or other areas as assigned.

Fundamental Components:

Reads, interprets and accurately enters prescription orders into pharmacy system.

Verifies pertinent information related to order processing which may include patient, physician, insurance, price codes, drug, quantities, directions and day supply.

Performs appropriate pharmacy calculations.

Insures adherence to all DEA, federal, state, and company policies and guidelines.

Creates and updates physician profiles in pharmacy system including demographics, DEA number, and NPI numbers.

May insure compliance with aspects of specialty insurance including Medicare and Medicaid.

When necessary may contact physician office for refill authorization.

May insure compliance with aspects of specialty insurance including Medicare and Medicaid.

May address and resolve insurance rejections to meet payer performance criteria.

Communicates with physician office via phone and/or fax, as provided by law, for clarification of prescription orders, requests for new prescriptions, or renewal of existing prescriptions.

When necessary may contact physician office for refill authorization.

Assist pharmacist in all manners permitted by law in the physician call area.

Communicates with patients via phone regarding medication.

Documents appropriate drug information in patient history profile, reviews for accuracy.

BACKGROUND/EXPERIENCE desired:

Registered Pharmacy Technician in the state of Florida is required. Pharmacy Technician Certification is preferred but not required.

Proficiency in computerized pharmacy systems and software applications required.

Understanding of medical and pharmacy terminology.

EDUCATION

The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.

LICENSES AND CERTIFICATIONS

Pharmacy/Pharmacy Technician is desired

FUNCTIONAL EXPERIENCES

FunctionalExperience/FunctionalFocus/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User

Technical - Desktop Tools/Microsoft Word/1-3 Years/End User

Technical - Desktop Tools/TE Microsoft Excel/1-3 Years/End User

REQUIRED SKILLS

General Business/Communicating for Impact/ADVANCED

General Business/Maximizing Work Practices/ADVANCED

Leadership/Driving a Culture of Compliance/MASTERY

ADDITIONAL JOB INFORMATION

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Offers to all candidates are contingent upon a background investigation - no individual with a felony drug conviction may be hired at this facility.

Job Function: Pharmacy Mail Order Delivery