Prior Authorization Technician – Pharmacy Technician

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

📋 Description

• Deliver patient care by eliminating obstacles to medication access.

• Collaborate with insurance companies and clinical offices to secure medication approvals through prior authorizations.

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

• Communicate directly with insurance providers to facilitate medication approvals.

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

• Effectively convey information across databases, electronic medical records, and emails to document patient issues, prior authorization statuses, and financial assistance requirements.

• Review prescriptions with medical offices 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 deliver a cohesive approach to quality patient care.

• Communicate directly with patients via phone to support them in all facets of medication compliance.

• Research and analyze information to empower strategic decision-making by others.

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

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

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

• Actively engage in process improvement initiatives.

• Serve as a value-added business partner to stakeholders across the organization.

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

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

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

• Perform additional duties as assigned.

⛳️ Requirements

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

• State registration or certification as a pharmacy technician is required.

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

• High school diploma or GED is required.

🏝️ Benefits

• Health insurance.

• Flexible work hours.

• Opportunities for professional development.