Prior Authorization Pharmacy Technician, Massachusetts Pharmacy License

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

📋 Description

• Engage directly with insurance providers to streamline medication approvals via prior authorizations.

• Assist patients in obtaining financial support through foundations, manufacturer programs, and various funding options.

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

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

• Collaborate with physicians' offices to ensure medication therapy is both timely and appropriate.

• Keep thorough and accurate records of patient interactions and case activities.

• Aid patients in handling pharmacy insurance claims and addressing coverage-related concerns.

• Work alongside pharmacists and pharmacy liaisons to provide coordinated, high-quality care to patients.

• Offer phone support to patients, enhancing their medication adherence and compliance.

• Conduct research, investigate, and analyze information to support decision-making and resolve issues.

• Organize, manage, 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 developments through ongoing education, professional publications, and networking.

• Occasionally travel as business needs dictate.

• Perform additional duties as assigned.

⛳️ Requirements

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

• Excellent customer service and patient communication abilities.

• Prior experience with insurance claims, medication access, prior authorizations, or pharmacy operations is preferred.

• High School Diploma or GED is required.

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

• National certification (CPhT or equivalent) is highly preferred but not mandatory.

• If the candidate's state does not offer pharmacy technician registration, national certification is required upon hiring.

• Must acquire any additional required credentials within a mutually agreed timeframe, if applicable.

• Continued employment is dependent on maintaining necessary licensure and certification requirements.

• Strong computer skills are essential, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint), internet, and web-based applications.

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

🏝️ Benefits

• Hourly pay range of $20.00–$22.00 per hour.

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

• Equal employment opportunities.

• Inclusive hiring process and application/interview support or accommodations.

• Occasional travel as business needs arise.