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[Remote] Pharmacy Tech I (Prior Authorization/PBM)
Note: The job is a remote job and is open to candidates in USA. The client is a retail pharmacy company seeking a Pharmacy Tech I to support a criteria-based prior authorization process. The role handles high-volume calls from members and providers, documents approvals and denials, and escalates clinical questions and judgment calls to pharmacists.
Responsibilities
- This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process
- Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist
Skills
- High-Volume Healthcare Call Center Experience
- Minimum 1 year of inbound call center experience
- Strong customer service and communication skills
- Pharmacy Technician Experience / Knowledge
- Ability to navigate multiple systems while handling calls
- Proficiency with Outlook and MS Teams required
- Strong data entry and documentation skills
- At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function
- National pharmacy technician certification
- Eligible for state registration, certification or licensure per state regulations
- Advanced computer skills including word processing and spreadsheet utilization
- Excellent customer service skills (written and verbal) a must
- Minimum (1) year experience required in a customer service position with high volume call center experience
- Healthcare, insurance, PBM, pharmacy, medical office, or similar environment preferred
- Pharmacy Technician experience strongly preferred
- Active Pharmacy Technician License, Certification, or Trainee License preferred
- Preferably in healthcare, social services, or a similar service position
Benefits
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
- Remote work arrangement
Company Overview
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