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Prior Authorization Pharmacy Technician

2 months ago


Raleigh, United States A-Line Staffing Solutions Full time
Job DescriptionJob Description

Full time Fully Remote Pharmacy Technician openings with a major healthcare company Starting ASAP Apply now to Chris Meyer with A-Line

Pharmacy Technician PAY RATE: $18 - $20 per hour

Pharmacy Technician HOURS: Monday-Friday 8-hour shift 9:30am - 6:00pm 

Pharmacy Technician Job Responsibilities:

  • 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
  • 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 request decisions

Pharmacy Technician Requirements:

· CPhT or National Pharmacy Technician License

· At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function or working with prior authorizations.

· Must be eligible for state registration, certification or licensure per state regulations.

· Advanced computer skills including word processing and spreadsheet utilization.

· Excellent customer service skills (written and verbal) a must.

· Must be open to working any 8-hour shift between 8:00am-8:00pm Central Time

· HS Diploma / GED required

Why Apply:

  • Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
  • GREAT Hours Monday through Friday, 40 hours per week, No Weekends
  • Competitive Pay Rate

Apply to Chris Meyer through this posting

Pharmacy Technician, CPhT, Pharmacy Tech, Healthcare, call center, mail order medications, Insurance Verification, Medicare, Medicaid, Medical billing, EOB, Benefit, Patient Service, PBM, Enrollment, Provider Services, Pharmacy, prior authorization, reimbursement counselor, Medical customer service, inbound calls, outbound calls, answer phones, make calls, medical terminology, medical office, medical claims, healthcare claims, claims processing