Pharmacy Technician - Prior Authorization

Altruix; Philadelphia (Philadelphia County); On-site; USD 33,000 - 37,000; Full time

Benefits offered by this job

Competitive pay

Medical, Dental, Vision

401(k) program

Paid time off

Paid holidays

Job summary

Altruix is seeking a Pharmacy Technician – Prior Authorization Specialist to support patients and provider partners with benefits investigations, prior authorizations, medication access, and financial assistance. This role collaborates with patients, providers, pharmacists, and internal teams to overcome coverage barriers and improve access to prescribed medications.

The ideal candidate has strong communication and organizational skills, with knowledge of pharmacy insurance processing and

Qualifications

• High school diploma or GED.
• Active Pharmacy Technician registration with the applicable State Board.
• Knowledge of pharmacy insurance processing and prescription benefits.
• Strong communication, organization, and problem-solving skills.
• Ability to manage multiple cases and priorities with attention to detail.
• Proficiency with Microsoft Office and ability to learn multiple pharmacy and insurance platforms.
• Two or more years of Pharmacy Technician experience preferred.
• Prior authorizations, benefits investigations, specialty pharmacy, or patient financial assistance preferred.
• Experience with Medicare Part D, Medicaid, commercial insurance, or manufacturer assistance programs preferred.
• Familiarity with CoverMyMeds, SuiteRx, Salesforce, Framework, Availity, EHR portals, or similar systems.
• Specialty or long-term care pharmacy experience preferred.

Responsibilities

• Complete benefits investigations and verify prescription coverage.
• Coordinate prior authorizations from submission through approval, denial, or appeal.
• Utilize CoverMyMeds and payer/provider portals to submit and track authorization requests.
• Coordinate with providers to obtain required documentation and assist with appeals and letters of medical necessity.
• Identify patient financial assistance options, including copay cards, manufacturer assistance programs, foundations/grants, and state-funded programs.
• Support Medicare Part D patients with coverage and available assistance resources.
• Communicate authorization and medication-access updates to patients, caregivers, providers, facilities, and internal pharmacy teams.
• Troubleshoot insurance, billing, and medication-access issues and escalates when appropriate.
• Maintain accurate documentation within pharmacy, CRM, payer, and provider systems.
• Support specialty and LTC pharmacy workflows and provide cross-functional support as needed.
• Perform other duties as assigned.

Skills

Communication

Organization

Problem-solving

Education

High school diploma or GED

Active Pharmacy Technician registration

Pharmacy Technician Certification (CPhT) preferred

Tools

CoverMyMeds

SuiteRx

Salesforce

Framework

Availity

EHR portals

Job description

It’s not just a job. It’s a mission.

Altruix is a high-touch pharmacy dedicated to serving behavioral health and intellectual and developmental disability populations. Through our pharmacy expertise, and specialized packaging, we promote medication adherence and improve patient outcomes. Our services help clients take medications as prescribed while reducing administrative burden for providers. Altruix customers achieve measurable results, including 90% adherence rates and a 40% reduction in ER and hospital-related costs. Learn more at www.altruix.com.

Altruix is seeking a Pharmacy Technician – Prior Authorization Specialist to support patients and provider partners with benefits investigations, prior authorizations, medication access, and financial assistance. This role works closely with patients, providers, pharmacists, and internal teams to identify coverage barriers and help patients access prescribed medications.

RESPONSIBILITIES:

Benefits Investigation & Prior Authorization:

• Complete benefits investigations and verify prescription coverage


• Coordinate prior authorizations from submission through approval, denial, or appeal


• Utilize CoverMyMeds and payer/provider portals to submit and track authorization requests


• Coordinate with providers to obtain required documentation and assist with appeals and letters of medical necessity

Access, Assistance & Communication:

• Identify patient financial assistance options, including copay cards, manufacturer assistance programs, foundations/grants, and state-funded programs


• Support Medicare Part D patients with coverage and available assistance resources


• Communicate authorization and medication-access updates to patients, caregivers, providers, facilities, and internal pharmacy teams


• Troubleshoot insurance, billing, and medication-access issues and escalates when appropriate


• Maintain accurate documentation within pharmacy, CRM, payer, and provider systems


• Support specialty and LTC pharmacy workflows and provide cross-functional support as needed


• Perform other duties as assigned

QUALIFICATIONS:

• High school diploma or GED


• Active Pharmacy Technician registration with the applicable State Board of Pharmacy


• Knowledge of pharmacy insurance processing and prescription benefits


• Strong communication, organization, and problem-solving skills


• Ability to manage multiple cases and priorities with strong attention to detail


• Proficiency with Microsoft Office and ability to learn multiple pharmacy and insurance platforms


• Pharmacy Technician Certification (CPhT) preferred


• Two or more years of Pharmacy Technician experience preferred


• Prior experience with prior authorizations, benefits investigations, specialty pharmacy, or patient financial assistance preferred


• Experience with Medicare Part D, Medicaid, commercial insurance, or manufacturer assistance programs preferred


• Familiarity with CoverMyMeds, SuiteRx, Salesforce, Framework, Availity, EHR portals, or similar systems preferred


• Specialty or long-term care pharmacy experience preferred

BENEFITS:

• Competitive pay, $24.00 to $27.00 an hour


• Medical, Dental, Vision, Life Insurance, and Long-Term Disability


• 401(k) program


• Paid time off


• Paid holidays

EEOC:

Altruix is an Equal Opportunity Employer and does not discriminate in recruiting, hiring, placement, training, promotion, termination, layoff, recall, transfers, leaves of absence, compensation, or other employment practices based on any protected characteristic under federal, state, or local law. Altruix is a drug-free workplace and requires pre-employment drug and alcohol testing as a condition of employment.