Pharmacy Technician - Prior Authorization Specialist

Akido; Pomona (CA); On-site; USD 80,231,000 - 91,693,000; Full time

Job summary

Akido Labs, Inc. is seeking a Pharmacy Technician – Prior Authorization Specialist to manage medication prior authorization requests across all clinics. You will coordinate with providers, patients, pharmacies, insurers, and staff to secure timely approvals and maintain continuity of care.

The role requires attention to detail, knowledge of PBM processes, and strong communication. You will review charts, submit requests through payer portals, monitor statuses, and document activities in the EHR

Qualifications

• High school diploma or equivalent required.
• Active Pharmacy Technician registration, license, or certification as required by state regulations.
• Minimum of one (1) year of experience as a Pharmacy Technician, healthcare authorization specialist, or related healthcare role.
• Experience processing medication prior authorizations and working with commercial, Medicare, and Medicaid insurance plans.
• Knowledge of pharmacy terminology, medication classifications, and insurance benefit structures.
• Experience utilizing electronic health records (EHR) and payer authorization portals.
• Strong organizational, analytical, and problem-solving skills.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities and meet established deadlines.
• Proficiency in Microsoft Office applications and healthcare technology systems.

Responsibilities

• Process medication prior authorization requests for all clinic locations in accordance with payer requirements and organizational standards.
• Review patient charts and clinical documentation to ensure completeness prior to submission.
• Collaborate with providers, medical assistants, nurses, and clinic staff to obtain supporting clinical information.
• Submit prior authorization requests through payer portals, electronic prior authorization systems, fax, or phone.
• Monitor authorization status and follow up with insurance companies to expedite approvals.
• Communicate authorization determinations, denials, and appeals requirements to providers and clinic teams.
• Maintain accurate documentation of all authorization activities within the electronic health record (EHR).
• Track authorization turnaround times and identify barriers impacting medication access.
• Assist in resolving medication coverage issues and identify alternative formulary options when appropriate.
• Ensure compliance with regulatory requirements, insurer guidelines, and organizational policies.

Skills

Prior authorization experience

Pharmacy terminology

EHR systems

Communication skills

Organizational skills

Multitasking

Microsoft Office

Education

High school diploma

Pharmacy Technician registration/licensure

Tools

Payer portals

Microsoft Office

Job description

Akido Labs, Inc. is seeking a Pharmacy Technician – Prior Authorization Specialist to manage medication prior authorization requests across all clinics. You will coordinate with providers, patients, pharmacies, insurers, and staff to secure timely approvals and maintain continuity of care.

The role requires attention to detail, knowledge of PBM processes, and strong communication. You will review charts, submit requests through payer portals, monitor statuses, and document activities in the EHR