Remote Pharmacy Technician - Prior Authorization | WFH

Job Overview

We are seeking a committed Remote Prior Authorization Pharmacy Technician to become an integral part of our team. In this position, you will provide exceptional customer service while assisting members and healthcare providers through the prior authorization process. You will be pivotal in ensuring that all approvals and denials are documented accurately and in a timely manner, transferring clinical inquiries requiring professional judgment to our team of pharmacists.

Key Responsibilities

• Respond to incoming calls from members, providers, and other stakeholders.
• Deliver clear, professional assistance over the phone for the prior authorization process based on established criteria.
• Maintain precise records of all approvals and denials, ensuring thorough documentation.
• Escalate clinical questions and cases that require expert evaluation to the pharmacist.
  
  

Required Skills

• Strong communication skills.
• Excellent customer service capabilities.
• Ability to maintain meticulous records.
• Familiarity with the prior authorization process.
• Problem-solving aptitude.
  
  

Qualifications

• A minimum of one year of experience in a high-volume call center or customer service role, ideally within the healthcare or social services sectors.
• Pharmacy Technician Certification at the state or national level is preferred but not required.
  
  

Career Growth Opportunities

Joining our organization presents a unique opportunity for professional development and career advancement within the healthcare field. You will be part of a supportive environment that encourages ongoing education and skill enhancement.

Company Culture And Values

Our company prides itself on fostering a diverse and inclusive workplace, where teamwork and collaboration are paramount. We are dedicated to a culture that values integrity, professionalism, and mutual respect.

Networking And Professional Opportunities

As a member of our team, you will have access to a vast professional network and opportunities for collaboration with peers in the industry, enhancing your career trajectory.

Compensation And Benefits

We offer a comprehensive benefits package to full-time employees after 90 days of service, which includes health, vision, dental, life, and short-term disability insurance. Additionally, you will be eligible for a 401(k) plan with company matching after your first year of service, available on our designated eligibility dates.

Employment Type: Full-Time