Prior Auth Pharmacy Tech I

Lensa; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

A leading career site seeks a Pharmacy Technician for a remote position. The role involves managing calls related to prior authorizations and requires a customer service background and relevant pharmacy credentials. Ideal candidates will have experience in a high-volume call center environment.

Qualifications

• 0-3 years in a high volume call center, preferably in healthcare.
• Verifiable High School diploma or GED required.
• Active pharmacy technician license preferred.

Responsibilities

• Manage inbound calls and fax/ePA requests professionally.
• Ensure compliance with company and regulatory requirements.
• Communicate determination status with internal groups.

Skills

Customer service

Communication

Documentation

Education

High School diploma or GED

Pharmacy technician license

Job description

14 hours ago Be among the first 25 applicants

Lensa is the leading career site for job seekers at every stage of their career. Our client, US Tech Solutions, is seeking professionals. Apply via Lensa today!

Job Summary

• The Tech I Prior Auth. takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team.
• The Tech I will also assist with other duties as needed to include but not limited to: outbound calls, reviewing and processing Prior Auth’s received via fax and ePA, monitoring and responding to inquiries via department mailboxes and other duties as assigned by the leadership team.
  
  

Responsibilities

• Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards. 40%
• Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers. 40%
• Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc.). 10%
• Identify and elevate clinical inquiries to the pharmacist team as appropriate. 5%
• Other duties assigned, for example faxes, sorting, email boxes, CAS maintenance, etc. 5%
  
  

Experience

Preferred 0-3 years work experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position.

Education

• Verifiable High School diploma or GED is required. Associate Degree or Bachelor’s Degree: If neither degree held, then equivalent years of work experience is preferred, Other Certificates or Licenses (List): Active pharmacy technician license per state requirements, or active national certification. Trainee license in states where applicable are preferred.
  
  

About US Tech Solutions

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com/) .

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

If you have questions about this posting, please contact [e-mail]

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  IT Services and IT Consulting

Referrals increase your chances of interviewing at Lensa by 2x

Sign in to set job alerts for “Pharmacy Technician” roles.

Pharmacy Technician - Prior Authorization & Medication Assistance - Remote

Beverly Hills, CA $25.06-$37.59 4 days ago

Remote Certified Pharmacy Technician (Start of Care)

Remote Certified Pharmacy Technician (Start of Care)

Pharmacy Technician (Remote in NH or MA), Remote Pharmacy Technician - Amazon Pharmacy

Virtual Medical Assistant - Pharmacy Coordinator (Remote)

United States $20,000.00-$28,000.00 3 hours ago

Texas, United States $18.18-$25.80 1 week ago

Formulary Maintenance Specialist- Certified Pharmacy Technician

Pharmacy Technician - Prior Authorization & Medication Assistance - Remote

Beverly Hills, CA $25.06-$37.59 3 hours ago

Portland, OR $101,855.89-$129,864.20 1 week ago

MTM Clinical Specialist - Remote Call Center

Pharmacy Technician (Remote in NH or MA), Remote Pharmacy Technician - Amazon Pharmacy

Intake Coordinator - Specialty Pharmacy - Remote

Pharmacy Prior Authorization Call Center - Remote CT(25685)

Connecticut, United States $33,500.00-$47,900.00 2 days ago

Remote Certified Pharmacy Technician - Start of Care

Specialist I, Prior Authorization-Lumicera

Pharmacy Technician I, Data Entry 503A (1st shift)

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.