Prior Authorization Pharmacy Tech – Inbound Call Center

Integrated Resources Inc.; Phoenix (AZ); On-site; USD 35,000 - 45,000; Full time

Job summary

A leading company in healthcare seeks a dedicated Call Center Operator to handle high volume inbound calls related to prior authorization pharmacy requests. The role requires evaluating prescriptions, communicating decisions, and providing excellent customer service in a fast-paced environment. PTCB certification and experience in the pharmacy sector are essential, along with strong communication and technical skills.

Qualifications

• Minimum 6 months dispensing or retail experience required.
• In-depth knowledge of specialty injectable prescription drugs and J/Q codes.
• Proficiency in pharmacy computerized systems.

Responsibilities

• Communicates prior authorization decisions to medical staff.
• Documents prior authorization outcomes in pharmacy system.
• Resolves physician or client inquiries and grievances.

Skills

Excellent written and verbal communication

Ability to follow clinical criteria

Troubleshooting skills

Education

PTCB Certification

Experience in pharmacy industry

Knowledge of medical terminology

Tools

MS Office Suite

Pharmacy computerized systems

Job description

A leading company in healthcare seeks a dedicated Call Center Operator to handle high volume inbound calls related to prior authorization pharmacy requests. The role requires evaluating prescriptions, communicating decisions, and providing excellent customer service in a fast-paced environment. PTCB certification and experience in the pharmacy sector are essential, along with strong communication and technical skills.