Job Title: Remote Pharmacy Technician

Job Description

We are seeking dedicated Pharmacy Technicians located in Florida, Alabama, or South Carolina to join a dynamic Pharmacy Services department within a large healthcare insurance company. This role involves reviewing Prior Authorizations, approving or denying them, and forwarding them to a Pharmacist for final review. Technicians will handle all health plans and types of medications.

Responsibilities

• Process prescription exceptions, including resolving claim rejects and conducting 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 prescription-related questions to a Pharmacist for interpretation or provide direction on processing.
• Assist with inbound and/or outbound patient or physician calls.

Essential Skills

• High School diploma or GED.
• Current Pharmacy Registration and Certification as required by state of operation.
• Strong computer skills and proficiency in Microsoft Office and Outlook.

Additional Skills & Qualifications

• Must be a Nationally Certified Technician.
• Registered pharmacy technician in the state of residence.
• Prior experience in call center, PBM, hospital, or specialty pharmacy environments is beneficial.

Work Environment

This position offers the opportunity to work remotely in a professional environment. Candidates must have strong Wi-Fi and a dedicated office space with a closed door. Working hours are Monday through Friday, 8am to 8pm in the respective time zone, with rotating weekends every 4-6 weeks and some holidays. Training will be conducted from 10am to 6:30pm EST. Equipment including computer, monitor, and headset will be provided. Long-term career opportunities and the potential to become a permanent employee are available, offering benefits and PTO.