Prior Authorization Pharmacy Technician – Rhode Island Pharmacy License

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

📋 Description

• Directly communicate with insurance providers to facilitate medication approvals through prior authorizations.

• Assist patients in accessing financial aid via foundations, manufacturer programs, and other funding resources.

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

• Document patient concerns, updates on prior authorization status, and financial assistance requirements across databases, electronic medical records, and email systems.

• Collaborate with physicians' offices to ensure timely and suitable medication therapy.

• Maintain thorough and accurate records of patient communications and case activities.

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

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

• Offer phone support to enhance medication adherence and compliance.

• Research, investigate, and analyze information for effective decision-making and problem resolution.

• Manage, organize, and maintain data within database applications.

• Identify trends, suggest process enhancements, and contribute to initiatives focusing on operational excellence.

• Act as a reliable business partner to organizational stakeholders.

• Safeguard confidential information and ensure compliance with privacy regulations.

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

• Occasionally travel as business needs dictate.

• Carry out additional duties as assigned.

⛳️ Requirements

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

• Strong skills in customer service and patient communication.

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

• High School Diploma or GED is required.

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

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

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

• Must obtain any additional required credentials within an agreed-upon timeframe, if applicable.

• Continued employment is contingent upon maintaining the necessary licensure and certification requirements.

• Strong computer skills.

• Proficiency in Microsoft Office applications (Outlook, Teams, Word, Excel, and PowerPoint).

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

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

🏝️ Benefits

• Equal employment opportunities.

• Inclusive hiring experience.

• Assistance or accommodations available during the application/interview process.

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

• Occasional travel as business needs dictate.