Prior Authorization Pharmacy Technician, Rhode Island Pharmacy License

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

📋 Description

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

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

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

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

• Work collaboratively with physicians' offices to ensure prompt and suitable medication therapy

• Keep precise records of patient interactions and case progress

• Aid patients with pharmacy insurance claims and issues related to coverage

• Collaborate with pharmacists and pharmacy liaisons to provide integrated patient care

• Offer telephone support and contribute to enhancing medication adherence and compliance

• Research and analyze information to assist in decision-making and problem-solving

• Organize and manage data within database applications

• Identify patterns, suggest process improvements, and support operational excellence initiatives

• Act as a business partner to organizational stakeholders

• Safeguard confidential information and uphold privacy compliance

• Stay updated through continuing education, professional literature, and networking

• Travel occasionally as required by business needs

• Perform additional duties as assigned

⛳️ Requirements

• At least 1 year of experience as a Pharmacy Technician

• Excellent customer service and patient communication abilities

• Preferably experienced in insurance claims, medication access, prior authorizations, or pharmacy operations

• High School Diploma or GED is mandatory

• Rhode Island State Registered and/or State Certified Pharmacy Technician, where relevant

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

• If pharmacy technician registration is unavailable in the candidate's state of residence, national certification is required upon hire

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

• Required to maintain licensure and certification for ongoing employment

• Proficient computer skills, including mastery of Microsoft Office applications (Outlook, Teams, Word, Excel, and PowerPoint)

• Ability to navigate online and web-based platforms

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

🏝️ Benefits

• Competitive hourly wage ranging from $20.00 to $22.00

• Opportunities for continuing education, professional publications, and networking

• Equal employment opportunities

• Inclusive hiring process with accommodations available during the application or interview phases