Pharmacy Technician – Prior Authorizations

This is a fully remote position, open to applicants in New Hampshire.

📋 Description

• Oversee the approval process for medications by liaising with healthcare providers and insurance companies regarding prior authorizations.

• Utilize pharmacy operating systems to input data, adjudicate claims, process refill requests, and formulate follow-up action plans.

• Record patient inquiries, the status of prior authorizations, and requirements for financial assistance in databases, electronic medical records, and email systems.

• Collaborate with physicians' offices to review prescriptions and ensure optimal patient care.

• Keep precise records of interactions and communications with patients.

• Aid patients in navigating pharmacy insurance claims and overcoming medication access obstacles.

• Work in partnership with pharmacists, pharmacy liaisons, and interdisciplinary teams.

• Offer telephone support while encouraging medication adherence and compliance.

• Conduct research and analysis to inform operational and strategic decisions.

• Organize and manage data within pharmacy and database systems.

• Detect trends, address issues, suggest enhancements, and engage in process improvement initiatives.

• Act as a reliable partner to organizational stakeholders.

• Safeguard patient and organizational information by adhering to strict confidentiality protocols.

• Keep up-to-date with professional knowledge through ongoing education and development.

• Travel minimally within the state or out of state as required.

• Carry out additional tasks as assigned.

⛳️ Requirements

• A valid New Hampshire Pharmacy Technician License is required at the time of hire.

• Ability to obtain National Pharmacy Technician Certification within 9 months if not already certified.

• High School Diploma or GED is necessary.

• Minimum of 1 year of experience as a Pharmacy Technician.

• Strong understanding of test claims, adjudication, prior authorization, and appeals processes.

• Excellent communication, documentation, organizational, and customer service abilities.

• Capability to work independently in a fully remote environment.

• National Pharmacy Technician Certification (PTCB or NHA) is preferred.

• Proficient computer skills, including Microsoft Office: Outlook, Teams, Word, Excel, and PowerPoint.

• Ability to navigate the internet and web-based platforms effectively.

• Data entry and computer skills will be evaluated during the pre-employment process.

• Minimal in-state or out-of-state travel may be necessary.

🏝️ Benefits

• Engaging work that supports patient access to transformative medications.

• A collaborative environment within a healthcare team.

• Opportunities for professional advancement and certification growth.

• A patient-centered culture committed to delivering quality care and service excellence.

• Ongoing education and professional development opportunities.

• Fully remote position.