Fully Remote Pharmacy Technician Prior Authorization

Overview

• Provide remote pharmacy technician services, focusing on prior authorization processes and compliance with regulations.
• Assist in determining eligibility and processing pharmacy prior authorization requests using industry-standard tools.
• Engage in phone-heavy communication to collect medical information and ensure accurate documentation.
• Collaborate with pharmacists and physicians to address additional information requests and escalate cases as needed.
• Deliver timely and accurate prior authorization outcome notifications adhering to standards.
• Participate in structured group training sessions to develop necessary skills and knowledge.
• Work within a defined schedule, ensuring adherence to training and operational timelines.
• Contribute to the success of a remote team serving multiple states across the U.S.

Key Responsibilities & Duties

• Utilize tools to determine eligibility and screen required documents for pharmacy prior authorization requests.
• Prepare and distribute authorization requests for pharmacist/physician review, ensuring compliance with standards.
• Collect and document medical information via telephone, fax, and portals, applying appropriate criteria.
• Ensure decision-making timeframes are met, escalating cases requiring pharmacist review promptly.
• Communicate authorization outcomes orally and in writing, maintaining accuracy and timeliness.
• Adhere to all applicable laws and regulations governing pharmacy practices.
• Participate in training sessions to ensure proficiency in role-specific tasks and tools.
• Maintain high standards of customer service and phone etiquette in a call center environment.

Job Requirements

• Active, unrestricted Pharmacy Technician certification (CPhT) from PTCB or NHA.
• Minimum of 1 year experience in a pharmacy-related field; 3 years preferred.
• Associate of Applied Science (AAS) degree required.
• Proficiency in verbal and written communication and interpersonal interactions.
• Experience in call center environments and phone-heavy roles is highly desirable.
• Comfortable with remote work and capable of managing tasks independently.
• Strong customer service skills and attention to detail in documentation.
• Availability to adhere to training schedules and operational timelines.