Prior Authorization Pharmacy Technician

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

📋 Description

• Interact directly with insurance providers to facilitate the approval of medications through prior authorizations.

• Assist patients in obtaining financial aid via foundations, manufacturer initiatives, and additional funding sources.

• Navigate pharmacy operating systems to input data, adjudicate claims, process refills, and develop follow-up action plans.

• Record patient concerns, updates on prior authorizations, and financial assistance requirements across databases, electronic medical records, and email systems.

• Work alongside physicians' offices to ensure timely and appropriate medication therapy.

• Keep comprehensive and accurate records of patient communications and case activities.

• Aid patients with pharmacy insurance claims and coverage-related challenges.

• Collaborate with pharmacists and pharmacy liaisons to provide coordinated patient care.

• Offer phone support and assist in enhancing medication adherence and compliance.

• Conduct research, investigation, and analysis to support decision-making and problem resolution.

• Organize and maintain data within database applications.

• Identify trends, suggest process enhancements, and contribute to initiatives aimed at operational excellence.

• Act as a reliable business partner to organizational stakeholders.

• Safeguard confidential information and ensure compliance with privacy regulations.

• Stay updated on industry knowledge through ongoing education, professional publications, and networking.

• Travel occasionally based on business needs.

• Carry out other assigned duties.

⛳️ Requirements

• At least 1 year of experience as a Pharmacy Technician.

• Excellent customer service and communication skills with patients.

• Preferred experience in handling insurance claims, medication access, prior authorizations, or pharmacy operations.

• High School Diploma or GED is mandatory.

• State Registered and/or State Certified Pharmacy Technician, where applicable.

• If the candidate's state does not provide pharmacy technician registration, national certification is required at the time of employment.

• Must acquire any additional necessary licensure within an agreed-upon timeframe, if applicable.

• Must uphold required licensure and certification standards for continued employment.

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

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

• Data entry and computer competencies will be assessed through a pre-employment evaluation.

🏝️ Benefits

• Equal employment opportunities and an inclusive hiring process.

• Assistance with applications/interviews and accommodations available upon request.

• Opportunities for continuing education, professional publications, and networking.

• Occasional travel as business needs necessitate.