100% Remote Pharmacy Technician

Job Description

We are seeking a dedicated Remote Pharmacy Technician to join our team working in theEST time zone. As a Pharmacy Technician, you will be responsible for reviewing Prior Authorizations for coverage determination for a Pharmacy Services department within a large healthcare insurance company. You will make initial approval or denial decisions before passing them to Pharmacists for final review.

Responsibilities

• Track coverage determination requests
• Obtain verbal authorizations
• Approve requests based on criteria
• Enter decisions into the PBM system
• Notify providers and members of decisions
• Respond to client inquiries
• Refer requests for specialty drugs
• Contact providers for additional information
• Notify stakeholders of decision outcomes
• Obtain detailed clinical information from prescribers
• Assist with inbound and/or outbound patient or physician calls if needed

Requirements

• High School diploma or GED
• State Registration AND National Certification
• Basic computer skills
• Experience with Prior Authorization processes
• Proficiency in Microsoft Office and Outlook
• Data entry skills