Pharmacy Technician

Overview

• Work remotely as a Pharmacy Technician on a contract basis, supporting prior authorization processes and ensuring compliance with regulations.
• Utilize vendor tools to determine eligibility and process pharmacy prior authorization requests efficiently and accurately.
• Collaborate with pharmacists and physicians to collect and organize relevant medical information for review.
• Document communication and decision-making processes clearly while adhering to established criteria and standards.
• Provide timely notifications regarding prior authorization outcomes, ensuring compliance with content and accuracy standards.
• Participate in group training sessions lasting 4-5 weeks to gain proficiency in tools and procedures.
• Work within a structured schedule, including potential weekend shifts, to meet organizational needs.
• Contribute to a dynamic team environment focused on delivering exceptional service and compliance.

Key Responsibilities & Duties

• Determine eligibility and process pharmacy prior authorization requests using specialized tools and systems.
• Prepare and distribute authorization requests for pharmacist or physician review, responding to additional information requests.
• Collect medical information via phone, fax, and portal, applying appropriate criteria for decision-making.
• Ensure timely decision-making and escalate cases requiring pharmacist review promptly.
• Communicate authorization outcomes orally and in writing, adhering to timeliness and accuracy standards.
• Comply with applicable laws and regulations governing pharmacy authorization processes.
• Participate in structured training sessions to develop proficiency in tools and processes.
• Perform additional duties as assigned to support team objectives and organizational goals.

Job Requirements

• Minimum of 1 year of experience in a pharmacy-related field; 3 years preferred.
• Active and unrestricted Pharmacy Technician certification (CPhT) required.
• High School Diploma or GED equivalent required.
• Strong verbal and written communication skills, with excellent customer service abilities.
• Proficient in phone etiquette and typing, with attention to detail and accuracy.
• Ability to work remotely and adhere to structured schedules, including weekends.
• Commitment to completing group training sessions without PTO interruptions.
• Familiarity with compliance standards and regulations in pharmacy authorization processes.