Pharmacy Technician

Insight Global; United States; On-site; USD 28,000 - 30,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) after 90 days of employment

Paid sick leave and other PTO benefits

Job summary

Insight Global is seeking a Prior Authorization Pharmacy Technician to support providers, members, and pharmacies by processing prior authorization requests for prescription medications. You will handle high-volume inbound calls, verify information, and document interactions to support timely access to medications while ensuring compliance with regulatory requirements.

Responsibilities include gathering clinical data, evaluating requests against coverage criteria, and collaborating with

Qualifications

• Experience in a fast-paced call center or healthcare setting preferred.
• Strong interpersonal and communication skills with providers and members.
• Ability to accurately capture and verify information for PA determinations.

Responsibilities

• Handle inbound PA requests via phone, fax, and electronic systems.
• Verify and document clinical information to support coverage determinations.
• Collaborate with pharmacists and internal teams to ensure compliant and timely access to medications.

Skills

Customer service

Phone etiquette

Medical terminology

Job description

The Prior Authorization Pharmacy Technician is responsible for supporting members, providers, and pharmacies by processing prior authorization requests for prescription medications while ensuring excellent customer service, accuracy, and compliance with regulatory requirements. The Pharmacy Technician will answer inbound calls (up to 50 to 70 calls per day) from providers/members and electronic inquiries related to prior authorizations (PAs) with a high level of professionalism, empathy, and customer service. Demonstrate the ability to accurately capture and verify information provided by prescribers, members, and pharmacies to support timely and compliant medication access decisions. This role involves receiving and reviewing authorization requests via phone, fax, and electronic systems, gathering and verifying clinical information, documenting interactions, evaluating requests against coverage criteria and benefit plans, and collaborating with pharmacists to support coverage determinations. The technician manages a high-volume workload, prioritizes requests based on service level agreements and turnaround times, maintains accurate records, resolves coverage-related issues, and communicates effectively with providers, members, pharmacies, and internal teams to facilitate timely access to medications and positive patient outcomes. This position will take incoming requests for prior authorizations, for formulary and non-formulary medications (this can include Commercial, Part D, High Touch Clients, Community and State cliental, Adherence and Monitoring and Prior Authorization Clinical Appeals), while ensuring a high level of customer service and maximizing productivity. Requests can be received via fax or telephone, from providers' offices and pharmacists. The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs). The technician must provide the information clearly, accurately and in a professional manner. Interactions with callers must be documented per contractual and various regulatory / legal requirements.

Compensation:

$20.50/hr

Exact compensation may vary based on several factors, including skills, experience, and education.

• Employees in this role will enjoy a comprehensive benefits package starting on day one of employment, including options for medical, dental, and vision insurance.
• Eligibility to enroll in the 401(k) retirement plan begins after 90 days of employment.
• Additionally, employees in this role will have access to paid sick leave and other paid time off benefits as required under the applicable law of the worksite location.