Job Description

Prior Authorization Pharmacy Technician

HealthCare Support is actively seeking a Prior Authorization Pharmacy Technician to fill a REMOTE opening with a Pharmacy Benefit Management company (PBM) .

Daily Responsibilities for Prior Authorization Pharmacy Technician:

• Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients
• Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required
• Obtain verbal authorizations and request detailed clinical information from prescribers
• Approve coverage determination requests based on defined criteria
• Enter and document coverage determination request decision into the PBM system and notify providers and/or members
• Respond to client inquiries regarding authorization approvals and PBM on-line applications
• Shift: Need to be available to work M-F with rotating weekends and holidays, Start Time as early as 8AM PST and no later than 10AM PST. Will have a 30 minute lunch
• Remote position - must live in any state following Pacific Time Zone or MST

Required Qualifications for Prior Authorization Pharmacy Technician:

• High School Diploma or GED
• Registered Pharmacy Technician in State they sit in
• PTCB, CPhT or NHA national certification required
• 2+ years of retail, hospital, or mail order pharm tech experience required
• Ability to type 50 WPM
• Ability to work from home - high speed internet, private work space, and smart phone
• NO time off in first 60 days

Preferred Qualifications for Prior Authorization Pharmacy Technician:

• MCO or PBM Prior Auth Experience

Benefits for Prior Authorization Pharmacy Technician:

• Immediate enrollment in Health Insurance
• Dental Insurance
• Life Insurance
• Employee Assistance Program (EAP)
• Access to Investment Accounts
• Career and educational tools within our Ingenovis ACT (Advocacy) Program

Pay Details: $20/hour - $21.50/hour

Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.


For additional consideration, please email a copy of your resume to Maricar.Vargas@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

#Slv1024 #Remote HealthCare Support

Job Tags

Holiday work, Local area, Immediate start, Remote job, Shift work,

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