Pharmacy Technician

Insight Global; United States; Remote; USD 42,000 - 62,000; Full time

Job summary

Insight Global is seeking Prior Authorization Certified Pharmacy Technicians to work fully remote in support of a large healthcare client. You will assist patients by removing barriers to medication access and facilitating approvals through prior authorizations.

You will navigate pharmacy systems to adjudicate claims, assist with financial assistance options, and coordinate with doctors and pharmacists to improve access and adherence. Strong communication and confidentiality are essential.

Qualifications

• Pharmacy technician certification required.
• Prior authorization experience preferred.
• Excellent communication and confidentiality required.

Responsibilities

• Communicate with insurance companies to obtain prior approvals for medications.
• Navigate pharmacy systems to input data and adjudicate test claims.
• Document patient concerns and authorization statuses across databases and EMR systems.
• Review prescriptions with clinicians to ensure appropriate therapy and coverage.
• Assist patients with financial assistance options and co-pay support.
• Maintain accurate records of patient interactions and outcomes.
• Collaborate with pharmacists and liaisons to improve patient care pathways.
• Provide patient phone support for medication adherence and guidance.

Education

Certified Pharmacy Technician (CPT)

Job description

Insight Global is looking for Prior Authorization Certified Pharmacy Technicians to work fully remote in support of one of our large healthcare clients. Within this role, this person will provide patient care by removing the barriers to medication access. Working with insurance companies and clinician offices to facilitate approval of medications through prior authorizations. Working with patients and a variety of funding sources such as foundations, or directly through manufactures to obtain financial assistance for high dollar co-pays. Provide phone support to patients by navigating a variety of pharmacy dispensing systems to adjudicate claims, refill medications, and increase adherence in patients. Below are the key responsibilities for this role:

• Directly communicate with insurance companies to facilitate the approval of medications.
• Navigate pharmacy operating systems to input data, perform adjudication on test claims and prepare action plans for follow-up.
• Effectively communicate across databases, electronic medical records and emails to document patient concerns, prior authorization status, and financial assistance needs.
• Review prescriptions with doctors' offices to ensure optimal care of the patient.
• Keep complete and accurate records of patient communications.
• Assist patients in the management of their pharmacy insurance claims.
• Work closely with pharmacists and pharmacy liaisons to provide an integrated approach quality patient care.
• Communicate directly with patients over the phone to assist them in all aspects of medication compliance.
• Research and investigate information to enable strategic decision-making by others.
• Manage, organize, and update relevant data using database applications.
• Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.
• Identify trends, resolve problems; recommend improvements; implement change.
• Actively participate in process improvement initiatives.
• Act as a value-added business partner to stakeholders throughout the organization.
• Protect organization's value by keeping information confidential.
• Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
• Minimal in or out of state travel may be required.