Pharmacy Technician Prior Authorization Representative

VIVA USA INC; United States; Remote; USD 22,000 - 30,000; Full time

Job summary

VIVA USA INC is seeking a Pharmacy Technician for a fully remote role in the United States. You will handle inbound calls from members and providers, document approvals/denials, and escalate complex clinical questions to a pharmacist.

Requirements include 1 year in a healthcare call center, pharmacy tech experience preferred, and strong MS Office skills. Schedule includes 8-hour shifts, with mandatory overtime; fully remote from home.

Qualifications

• Minimum 1 year in a customer service role with high-volume call center experience.
• Pharmacy Technician experience strongly preferred; licensure/trainee license preferred.
• Excellent customer service and communication skills; proficient data entry and documentation.

Responsibilities

• Handle incoming calls from members, providers, etc. and document all actions.
• Coordinate with pharmacy professionals; transfer complex clinical questions as needed.
• Maintain timely, accurate documentation of approvals and denials.

Skills

High-Volume Call Center

Pharmacy Technician Experience

Multitasking & Documentation

Education

High School diploma or GED

Tools

Outlook

MS Teams

Job description

Fully remote (never coming onsite)

Position Summary

This position takes in-coming calls from members, providers, etc. providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.

Candidate should be comfortable utilizing the full MS Office Suite (MS TEAMS, Outlook are REQUIRED and Word and Excel is helpful)

At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function. (preferred)

The Pharmacy Technician certification is preferred but not required at a state or national level. Will also consider a Pharm Tech Trainee license.

Advanced computer skills including word processing and spreadsheet utilization.

Excellent customer service skills (written and verbal) a must.

Duties

At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function.

National pharmacy technician certification. Eligible for state registration, certification or licensure per state regulations.

Experience

Minimum (1) year experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position.

Top 3 Skills Required

• 1. High-Volume Healthcare Call Center Experience
  • Minimum 1 year of inbound call center experience
  • Healthcare, insurance, PBM, pharmacy, medical office, or similar environment preferred
  • Strong customer service and communication skills
• 2. Pharmacy Technician Experience / Knowledge
  • Pharmacy Technician experience strongly preferred
  • Active Pharmacy Technician License, Certification, or Trainee License preferred
• 3. Computer Multitasking & Documentation Skills
  • Ability to navigate multiple systems while handling calls
  • Proficiency with Outlook and MS Teams required
  • Strong data entry and documentation skills

Education

Verifiable High School diploma or GED is required.

Notes:

Fully remote (never coming onsite)

Schedule: Assigned 8-hour shifts between 8:00 AM - 8:00 PM CT, Monday-Friday

Training: 8:00 AM - 4:30 PM CT, Monday-Friday for 6 weeks

Overtime: Mandatory

VIVA is an equal opportunity employer.

All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status