Prior Authorization Technician – Pharmacy Technician

📋 Description

• Deliver patient care by eliminating obstacles to medication access.

• Collaborate with insurance providers and clinician offices to expedite medication approvals through prior authorizations.

• Offer phone support to patients by navigating pharmacy dispensing systems to process claims, refill medications, and enhance patient adherence.

• Communicate directly with insurance companies to facilitate medication approval.

• Utilize pharmacy operating systems to enter data, perform adjudication on test claims, and develop follow-up action plans.

• Effectively document patient concerns, prior authorization statuses, and financial assistance needs across databases, electronic medical records, and emails.

• Review prescriptions with healthcare providers to ensure optimal patient care.

• Maintain comprehensive and accurate records of patient interactions.

• Assist patients in managing their pharmacy insurance claims.

• Collaborate closely with pharmacists and pharmacy liaisons to provide integrated, high-quality patient care.

• Directly communicate with patients over the phone to support all aspects of medication compliance.

• Research and analyze information to enable informed decision-making for others.

• Manage, organize, and update pertinent data utilizing database applications.

• Apply insights and recommendations to operational challenges, enhancing productivity, quality, and customer service standards.

• Identify trends, troubleshoot issues, recommend enhancements, and implement changes.

• Actively engage in process improvement initiatives.

• Serve as a valued business partner to stakeholders across the organization.

• Safeguard the organization's integrity by maintaining confidentiality of information.

• Enhance job knowledge through educational opportunities, reading professional literature, maintaining personal networks, and participating in professional organizations.

• Minimal travel, either in-state or out-of-state, may be required.

• Perform additional duties as assigned.

⛳️ Requirements

• A minimum of 1 year of experience as a Pharmacy Technician.

• Must be state registered or certified as a pharmacy technician.

• National certification as a CPhT or an equivalent qualification is strongly preferred but not mandatory.

• High school diploma or GED is required.

🏝️ Benefits

• Health insurance coverage.

• Flexible working hours.

• Opportunities for professional development.