Experienced Garage Door Technician ( 2 Years Required )

Iconic Garage Door Services LLC; Queen Creek (AZ); Remote; USD 28,000 - 32,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

PTO / Paid time off

Life Insurance (optional)

Disability coverage

Job summary

Actalent is hiring a Remote Pharmacy Technician to process and review prior authorizations for Medicare and Medicaid patients, with emphasis on Medicare. The role involves intake and technical reviews, data entry, and clinical determinations on approvals and denials in a fully remote, HIPAA-compliant environment.

The position offers flexibility, a strong benefits package, and opportunities for ongoing education and career advancement within managed care and pharmacy practices.

Qualifications

• Active Pharmacy Technician certification (CPhT)
• Hands-on experience in managed care or similar insurance environment
• Prior authorization processing and workflow experience
• Strong data entry accuracy for patient and insurance data
• Excellent phone-based customer service and professional communication
• Ability to work remotely and independently while meeting performance targets
• Ability to read and interpret insurance documents and SOPs

Responsibilities

• Process and review prior authorizations for Medicare and Medicaid patients.
• Set up PA cases in internal systems and route to review team.
• Make clinical determinations on approvals/denials per SOPs and policies.
• Maintain HIPAA-compliant data entry for all patient information.
• Provide outbound and inbound patient/customer support on PA decisions.
• Work with multiple systems, documenting decisions and tracking status.
• Support rotating holiday coverage and ongoing training in managed care practices.

Skills

CPhT Certification

Managed care experience

Prior authorization processing

Data entry accuracy

Phone-based customer service

Remote work experience

Insurance document interpretation

Job description

Job Description

Remote Pharmacy Technician – This role focuses on processing and reviewing medication prior authorizations for Medicare and Medicaid patients, with a primary emphasis on Medicare. You will handle both intake and technical review functions, ensuring accurate data entry, thorough evaluation of coverage criteria, and clear clinical determinations on medication approvals and denials. The position is fully remote, HIPAA compliant, and offers a strong culture, flexibility, and benefits.

Responsibilities

• Handle the intake of MedPharma prior authorizations, setting up PAs in the system and forwarding them to review technicians.
• Conduct tech reviews by receiving PA cases from the intake team and assessing them for coverage.
• Approve or deny medications based on criteria, SOPs, insurance documents, and medical documents.
• Make clinical determinations regarding medication approval or denial and coverage capacity.
• Process MedPharma prior authorizations for Medicare and Medicaid patients, primarily Medicare, in accordance with established procedures and guidelines.
• Perform intake duties by setting up prior authorization cases in internal systems accurately and efficiently.
• Route completed intake cases to the review team and, once trained, handle technical review responsibilities.
• Conduct technical reviews of prior authorization cases to determine medication coverage, including approval, denial, or partial coverage decisions.
• Read and interpret coverage criteria, standard operating procedures (SOPs), insurance documents, and medical documents to determine eligibility.
• Make clinical determinations regarding whether medications are approved or denied based on available information and coverage policies.
• Ensure all data entry related to prior authorizations, claims, and patient information is accurate, complete, and compliant with regulations.
• Provide customer service over the phone, handling inbound and outbound calls related to prior authorization and coverage decisions.
• Control and guide conversations with callers, redirecting as needed to gather required information and maintain a professional, efficient interaction.
• Use computer systems and software tools to manage cases, document decisions, and track workflow in a remote environment.
• Work independently in a remote setting while adhering to HIPAA requirements and maintaining confidentiality of patient information.
• Collaborate with team members on rotating holiday coverage and shared responsibilities to ensure consistent service levels.
• Participate in training and ongoing education to stay current on managed care, pharmacy practices, and prior authorization processes.

Essential Skills

• Active Pharmacy Technician certification (such as CPhT) with demonstrated experience as a Pharmacy Technician.
• Hands-on experience in managed care or a similar environment involving insurance, claims, and coverage determinations.
• Prior experience working in a pharmacy setting, with familiarity in medication workflows and prior authorization processes.
• Proficiency in data entry with strong attention to detail and accuracy in handling patient and insurance information.
• Customer service experience over the phone, including the ability to handle calls professionally and maintain composure.
• Skill in controlling and guiding conversations, including redirecting discussions to obtain necessary information and resolve issues.
• Strong computer skills and comfort working with multiple systems and digital documentation.
• Proven ability to work remotely and independently while managing workload and meeting performance expectations.
• Ability to read and interpret insurance documents, SOPs, and medical documentation to support clinical and coverage decisions.
• Commitment to maintaining HIPAA compliance and safeguarding sensitive patient information in a remote environment.

Additional Skills & Qualifications

• Experience with prior authorization processing in a managed care or pharmacy environment.
• Experience in claims-related work, including understanding of coverage rules and insurance terminology.
• Strong interpersonal and communication skills, both verbal and written, for interacting with patients, providers, and internal teams.
• Ability to adapt to varying schedules, including evening and weekend shifts, and participate in rotating holiday coverage.
• Comfort working in a structured, process-driven environment with clear SOPs and performance expectations.
• Interest in long-term, permanent opportunities that offer holidays, paid time off, flexibility, and benefits.
• Self-motivated mindset with the ability to stay focused and productive in a closed-door, distraction-free setting.

Work Environment

• The position is 100% remote and requires a closed-door setting with limited distractions to ensure HIPAA compliance.
• A strong WiFi connection is essential for remote work.
• The training schedule is Monday to Friday, 10:00 AM to 6:30 PM EST.
• Post‑training, you can choose between a Sunday‑Thursday schedule (preferred 12:00‑8:30 PM or 12:30‑9:00 PM EST) or a Tuesday‑Saturday schedule (preferred 12:30‑9:00 PM EST).
• The work culture boasts a 90% cultural score internally, offering holiday benefits, PTO, flexibility, and other benefits.

Pay and Benefits

The pay range for this position is $20.00 - $23.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre‑tax and Roth post‑tax contributions Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long‑term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

Application Deadline

This position is anticipated to close on Nov 11, 2026.

Workplace Type

This is a fully remote position.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News‑Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

Equal Opportunity Employer

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Additional Legal Information

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.