Prior Authorization Pharmacy Tech | Fast-Paced Healthcare

Akido Labs, Inc.; Ontario, Northern (CA, KY); Hybrid; USD 39,000 - 44,000; Full time

Benefits offered by this job

Equal opportunity employer

Job summary

Akido Labs, Inc. seeks a detail-oriented Pharmacy Technician – Prior Authorization Specialist to coordinate medication prior authorizations across our clinics in CA and other states.

You will liaise with providers, patients, pharmacies, and insurers to secure timely approvals and maintain accurate PA documentation. You're responsible for reviewing clinical data, submitting requests via payer portals, and tracking outcomes while ensuring compliance with payers' guidelines and organizational

Qualifications

• High school diploma or equivalent required.
• Active Pharmacy Technician registration or license per state.
• Minimum 1 year in a Pharmacy Technician or related role.
• Experience processing medication prior authorizations with commercial/Medicare/Medicaid.
• Knowledge of pharmacy terminology and insurance benefit structures.
• Experience using 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 deadlines.
• Proficiency in Microsoft Office and healthcare tech.

Responsibilities

• Process prior authorization requests for all clinic locations.
• Review patient charts to ensure completeness before submission.
• Collaborate with providers and clinic staff for supporting info.
• Submit PA requests via payer portals, electronic systems, fax, or phone.
• Monitor status and follow up with insurers to expedite approvals.
• Communicate determinations to providers and clinic teams.
• Maintain accurate documentation in the EHR.
• Track turnaround times and identify barriers to access.
• Assist in resolving coverage issues and formulary options.
• Ensure compliance with regulatory and insurer guidelines.

Skills

Attention to detail

Communication skills

Multitasking

Organizational skills

Microsoft Office

EHR systems

Pharmacy terminology

Problem-solving

Time management

Education

High school diploma

Pharmacy technician license/registration

Tools

EHR portals

Payer authorization portals

Job description

Akido Labs, Inc. seeks a detail-oriented Pharmacy Technician – Prior Authorization Specialist to coordinate medication prior authorizations across our clinics in CA and other states.

You will liaise with providers, patients, pharmacies, and insurers to secure timely approvals and maintain accurate PA documentation. You're responsible for reviewing clinical data, submitting requests via payer portals, and tracking outcomes while ensuring compliance with payers' guidelines and organizational