Pharmacy Technician Prior Authorization Specialist - Infusion Services

Trinity Health; Grand Rapids (MI); On-site; USD 52,000 - 76,000; Full time

Job summary

Trinity Health is seeking a Prior Authorization Technician to support medication access across ambulatory clinics in Grand Rapids. The role coordinates PA requests, MSOT workflows, and payer communications within the Epic system, serving providers, office staff, and patients with timely PA determinations.

Responsibilities include coordinating PA submissions, managing MSOT tasks, assisting with documentation, and communicating approvals or denials. Michigan licensing and PA experience preferred.

Qualifications

• High school education or equivalent.
• Licensed as a Pharmacy Technician or Pharmacist Intern in 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: 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 PTCB

Responsibilities

• Coordinate PA requests: gather clinical info, submit PA via payer portals, fax, or phone; coordinate appeals.
• Process MSOT workflow tasks, ensure internal routing, resolve barriers, and communicate status to clinic teams.
• Respond to PA-related questions from prescribers and clinic staff; request additional documentation; communicate approvals/denials.
• Provide PA status updates and next steps to patients; assist with understanding insurance requirements.
• Verify coverage, copays, step therapy rules, and formulary alternatives.
• Maintain accurate PA status notes in Epic, payer communications, and MSOT task completion.
• Navigate denials and identify alternative pathways; elevate only for clinical reviews.
• Ensure PA and MSOT tasks are completed efficiently and routed to support clinic operations.
• Prioritize and manage multiple concurrent PA and MSOT requests within turnaround times.

Skills

Understanding of insurance plans

Medical terminology

PA criteria knowledge

Education

High school diploma or equivalent

Michigan Pharmacy Technician license or Pharmacist Intern license

Certified Pharmacy Technician (CPhT)

Pharmacy Technician training or 2 years college (math/science/medical)

Tools

Epic EHR

Payer portals

Job description

Employment Type: Full time Shift: Day Shift Description:

Schedule | Hours:

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

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.

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 elevate 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.