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Prior Authorization Pharmacy Technician

2 months ago


Atlanta, United States A-Line Staffing Solutions Full time

A-Line Staffing is now hiring Fully Remote Prior Authorization Certified Pharmacy Technician. The Prior Authorization Certified Pharmacy Technician would be working for a Major Health Plan and has career growth potential .

Prior Authorization Certified Pharmacy Technician Highlights:

· Will be assigned an 8-hour shift between 9am-9pm M-F (40 hours/week)

· Benefits are available to full-time employees after 90 days of employment

· A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

· Pay Range: $18 - $21 Hourly (determined on experience)

Prior Authorization Certified Pharmacy Technician Responsibilities:

· Approve/recommend denial for determination requests based on defined criteria.

· Enter and document coverage determination request decision into the PBM/RxClaims system and notify providers and/or members.

· Refer coverage determination requests for specialty drugs to delegated vendor or client for processing.

· Contact providers for additional information to facilitate coverage determination reviews.

· Notify physicians, providers, and members of coverage determination decisions.

Prior Authorization Certified Pharmacy Technician Requirements:

· Active Registered Pharmacy Technician license in the state of residence.

· Active PTCB or ExCPT certification.

· 1-3+ years of prior authorization / coverage determination review experience.

· High school diploma or GED.

If you are interested in this Prior Authorization Certified Pharmacy Technician position, please apply to this posting with Luke Heuser at A-Line

Keywords: CPHT, RPHT, PTCB, EXCPT, prior authorizations, prior auth, coverage determination, denial, denials, appeals, appeal, prior authorization review, coverage determination review, PBM, pharmacy benefit management, certified pharmacy technician, registered pharmacy technician, mail order pharmacy, specialty pharmacy, managed care, MCO, claims, CMS, Medicaid, Medicare, EMR, Electronic Medical Records system