Pharmacy Technician – Prior Authorization Expert

Altruix; Lancaster, Northern (Lancaster County, KY); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Competitive pay

Medical, Dental, Vision

Life Insurance

Long-Term Disability

401(k) program

Paid time off

Paid holidays

Job summary

Altruix, a high-touch pharmacy serving behavioral health populations, is seeking a Pharmacy Technician – Prior Authorization Specialist. You will support patients and providers with benefits investigations, prior authorizations, and medication access, working closely with internal teams to overcome coverage barriers.

Ideal candidates will have a pharmacy tech registration, knowledge of insurance processing, and strong communication.

Qualifications

• High school diploma or GED; active state registration as a Pharmacy Technician.
• Knowledge of pharmacy insurance processing and prescription benefits.
• Strong communication, organization, and problem-solving skills.

Responsibilities

• Complete benefits investigations and verify prescription coverage.
• Coordinate prior authorizations from submission through approval, denial, or appeal.
• Submit and track authorization requests via CoverMyMeds and payer/provider portals.
• Coordinate with providers for required documentation and assist with appeals.
• Identify patient financial assistance options, including copay cards and manufacturer programs.
• Support Medicare Part D patients with coverage and available resources.
• Communicate authorization and medication-access updates to patients, caregivers, and teams.
• Troubleshoot insurance, billing, and medication-access issues and escalate as needed.
• Maintain documentation within pharmacy, CRM, payer, and provider systems.
• Support specialty and LTC pharmacy workflows as needed.

Skills

Pharmacy tech registration

Insurance processing knowledge

Communication skills

Organization skills

Problem-solving

Multi-tasking

MS Office proficiency

Education

High school diploma or GED

Pharmacy Technician Certification (CPhT)

Tools

CoverMyMeds

SuiteRx

Salesforce

Framework

Availity

EHR portals

Job description

Altruix, a high-touch pharmacy serving behavioral health populations, is seeking a Pharmacy Technician – Prior Authorization Specialist. You will support patients and providers with benefits investigations, prior authorizations, and medication access, working closely with internal teams to overcome coverage barriers.

Ideal candidates will have a pharmacy tech registration, knowledge of insurance processing, and strong communication.