Certified Pharmacy Technician

Remote Certified Pharmacy Technician

Job Description

We are seeking experienced Certified Pharmacy Technicians to join our team. As a Pharmacy Technician, you will be reviewing Prior Authorizations for a Pharmacy

Services department within a large healthcare insurance company. You will be responsible for approving or denying prior authorizations and forwarding them

to a pharmacist for final review.

Responsibilities (Appeals Dept.)

• Process prescription exceptions including resolving claim rejects and member and physician outreach.
• Enter member demographics and prescription information into the data processing system.
• Research and resolve rejected insurance billing issues and/or escalated member issues.
• Escalate questions regarding prescriptions to pharmacist for interpretation or provide direction on processing.
• Assist with outbound patient or physician calls.

Requirements

• Nationally Certified Technician
• Pharmacy State Registration
• High School diploma or GED.
• Strong computer skills

Skills

• Experience with prior authorization processes.
• Proficiency in Microsoft Office and Outlook.
• Experience in call centers, PBM, hospital, or specialty pharmacy settings.

Work Environment

We are seeking candidates who thrive in a structured remote work setting. This role involves multitasking across multiple screens and systems, so strong technical proficiency and attention to detail are essential.

Work Requirements:

• A reliable high-speed WiFi connection
• A dedicated home office space with a door for privacy

Schedule

• Monday through Friday, 8AM and 7PM (In your time zone)
• Willingness to work rotating weekends every 4–6 weeks and some holidays

Training Schedule:

• Training hours are 10:00 AM – 6:30 PM EST

Equipment Provided:

• Company-issued computer, monitor, and headset