Prior Auth Pharmacy Tech III — Day Shift

NKC Health; Kansas City, Northern (MO, KY); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical, Dental, Vision, Life, FSA

Competitive wages

Paid time off

Six paid holidays per year

Educational assistance

Day shift schedules

Job summary

NKC Health is seeking a Pharmacy Tech III (Prior Auth) to join the Headache Center team in the Northland. The role supports clinic-based prior authorizations, enhances patient care, and improves adherence and outcomes through efficient processing.

The technician may perform all required tasks within the pharmacy department under supervision, ensuring compliance with applicable laws and regulations.

Qualifications

• CPhT certification and PTCB credential required.
• Minimum three years of experience in healthcare or related field.
• Two years of experience with managed care insurers and/or Medicare/Medicaid.
• Two years of experience with pharmacy benefit prior authorization and specialty pharmacy processes.

Responsibilities

• Schedule patients by receiving referrals and screening demographics; perform benefits investigation and document prior authorizations.
• Provide information on processing prior authorizations; contact payers and obtain approvals that meet criteria; outline review timelines.
• Verify benefit information before appointments to prevent revenue loss and ensure smooth claims processing.
• Coordinate processing, distribution, and delivery of referrals; manage inventory of specialty medications; follow up with patients to ensure receipt and billing for services.
• Identify co-pay assistance programs and act as liaison for manufacturer-funded assistance; identify eligible participants.
• Other duties as assigned.
• Compliance with laws and regulations.

Skills

CPhT

PTCB

Managed care experience

Prior authorization

Pharmacy benefit management

Customer service

Education

High School Diploma or GED

Associates Degree preferred

Job description

NKC Health is seeking a Pharmacy Tech III (Prior Auth) to join the Headache Center team in the Northland. The role supports clinic-based prior authorizations, enhances patient care, and improves adherence and outcomes through efficient processing.

The technician may perform all required tasks within the pharmacy department under supervision, ensuring compliance with applicable laws and regulations.