Pharmacy Technician Prior Authorization Specialist - Infusion Services

Trinity Health MI; Grand Rapids (MI); On-site; USD 36,000 - 56,000; Full time

Job summary

Trinity Health MI is seeking a Prior Authorization Technician to support medication access across ambulatory clinics. You will coordinate prior authorizations, manage Multi-Step Order Transmittal tasks in Epic, and assist providers and office staff with PA requirements and documentation.

You will verify coverage for commercial, Medicare, and Medicaid plans, communicate with patients, and maintain accurate Epic notes.

Qualifications

• Must have high school education or equivalent.
• Licensed Pharmacy Technician or Pharmacist Intern in Michigan.
• Minimum 1 year Pharmacy Tech work experience.
• Understanding of commercial, Medicare, and Medicaid plans.
• Familiarity with medical terminology and PA criteria.
• Prefer Epic and payer portals experience.

Responsibilities

• Coordinate prior authorizations by reviewing payer requirements and submitting PA requests.
• Manage MSOT workflow and ensure accurate internal routing.
• Support providers and clinic staff with PA-related questions and documentation.
• Communicate PA approvals, denials, and alternative therapy needs.
• Update patients on PA status and insurance requirements.
• Investigate insurance benefits, verify coverage, copays, and formulary options.
• Maintain timely notes in Epic for PA status and communications.
• Navigate denials and escalate only when clinical review is needed.
• Prioritize multiple PA/MSOT requests and meet turnaround times.

Skills

Communication

Customer service

Attention to detail

Multitasking

Clinical terminology understanding

Education

High school diploma or equivalent

Michigan Pharmacy Technician license or Pharmacist Intern

Formal Pharmacy Technician training program

CPhT certification (PTCB)

Two years of college with math/science emphasis

Tools

Epic EHR

Payer portals

Job description

Position Summary

The Prior Authorization Technician supports medication access by coordinating prior authorization (PA) requests, benefit investigations, and MSOT workflows within the Epic electronic health record. This role provides high-quality support to providers, office staff, and patients across multiple ambulatory clinics. The technician manages complex insurance requirements and serves as the primary point of contact for PA-related needs.

Employment Type

Full time

Shift

Day Shift

Description

Schedule | Hours:

• Full-time, 40 hours per week
• Days
• Monday-Friday

What you’ll do

• Prior authorization coordination
  • Review payer requirements, gather necessary clinical information, submit complete PA requests through payer portals, fax, or phone, and coordinate appeal submissions when necessary.
• MSOT workflow management
  • Process Multi-Step Order Transmittal tasks, ensure accurate internal routing, resolve workflow barriers, and communicate order status to clinic teams.
• Provider and office staff support
  • Respond to PA-related questions from prescribers and clinic staff.
  • Request additional documentation when needed.
  • Communicate approvals, denials, and alternative therapy requirements.
• Patient communication
  • Provide updates on PA status, expected timelines, and next steps; assist with understanding insurance requirements.
• Insurance benefit investigation
  • Verify coverage, copays, step therapy rules, and formulary alternatives.
• Documentation in Epic
  • Maintain accurate, timely notes in Epic, including PA status, payer communication, and MSOT task completion.
• Navigate denials, identify alternative pathways, and escalation only when clinical review is required.
• Ensure PA and MSOT tasks are completed efficiently and routed appropriately to support clinic operations.
• Prioritize and manage multiple concurrent PA and MSOT requests while meeting established turnaround time expectations.

What you’ll need

• High school education or equivalent.
• Licensed as a Pharmacy Technician or Pharmacist Intern in the State of Michigan.
• 1 year Pharmacy Tech Work experience.
• Understanding of commercial, Medicare, and Medicaid insurance plans.
• Familiarity with medical terminology, diagnosis codes, and PA criteria.
• Preferred: Proficiency with Epic and payer portals.
• Preferred: Experience with prior authorizations, insurance billing, or ambulatory pharmacy workflows.
• Preferred: Completion of a formal Pharmacy Technician training program; or two years of college with emphasis in math, science, or medical field applications.
• Preferred: Active status as a Certified Pharmacy Technician (CPhT) by the Pharmacy Technician Certification Board (PTCB)

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.