Bilingual Pharmacy Technician - Prior Authorization (Hybrid)

TPIS; Gurabo (PR); Hybrid; USD 21,000 - 22,000; Full time

Job summary

TPIS is seeking a bilingual Pharmacy Technician - Prior Authorization for a Hybrid role supporting a health insurance client in Puerto Rico. You will answer calls, process prior authorizations, and coordinate with members, physicians, and pharmacists.

On-site training lasts eight weeks in San Juan, after which hybrid or remote work may apply. English and Spanish proficiency is required and PR licensure/certification is necessary.

Qualifications

• Valid, unrestricted Puerto Rico Pharmacy Technician license or the Pharmacy Technician Certification Board
• Proficiency with computer and Windows PC applications
• Professional proficiency in both English and Spanish
• On-site training for 8 weeks in San Juan, PR

Responsibilities

• Receive member and provider calls
• Process prior authorizations through various computer systems ensuring data accuracy
• Navigate across multiple computer systems to respond to questions or provide medication details/clinical information
• Provide follow-up or consultation via inbound/outbound calls
• Apply benefit plan criteria when making decisions (approvals/denials)
• Provide members with general benefit information
• Collaborate with others to interpret clinical guidelines

Skills

Bilingual English/Spanish

Customer service

Problem solving

Attention to detail

Communication

Education

Pharmacy Technician license

Puerto Rico Pharmacy Technician license

Tools

Pharmacy software systems

Job description

TPIS is seeking a bilingual Pharmacy Technician - Prior Authorization for a Hybrid role supporting a health insurance client in Puerto Rico. You will answer calls, process prior authorizations, and coordinate with members, physicians, and pharmacists.

On-site training lasts eight weeks in San Juan, after which hybrid or remote work may apply. English and Spanish proficiency is required and PR licensure/certification is necessary.