Prior Authorization Pharmacy Tech: Outpatient Reimbursement

MUSC Health; South Carolina; On-site; USD 25,000 - 36,000; Full time

Job summary

Medical University of South Carolina is seeking a Pharmacy Technician to support outpatient pharmacy operations by managing the end-to-end prior-authorization process for medications, services, and procedures. The role ensures timely submission of documentation to payers and collaborates with clinical teams to safeguard patient access.

Current SCBOP registration is required and must be maintained; certification via PTCB or ExCPT is required within the specified timeframe.

Qualifications

• High School Degree or Equivalent required or additional work experience.
• Current registration as a Pharmacy Technician with SCBOP is required and must be maintained.
• Pharmacy Technician Certification (PTCB or ExCPT) certification required within specified timeframe.
• Experience with prior-authorization workflows is a plus.

Responsibilities

• Supports outpatient pharmacy operations by managing end-to-end prior-authorization for meds and services.
• Ensures timely submission of documentation to payers and tracks authorizations/denials.
• Collaborates with clinical and provider teams to safeguard patient access to therapy.

Skills

Prior authorization process

Education

High School Degree or Equivalent

Pharmacy Technician Certification (PTCB/ExCPT)

SCBOP registration

Tools

PTCB/ExCPT certification tracking

Job description

Medical University of South Carolina is seeking a Pharmacy Technician to support outpatient pharmacy operations by managing the end-to-end prior-authorization process for medications, services, and procedures. The role ensures timely submission of documentation to payers and collaborates with clinical teams to safeguard patient access.

Current SCBOP registration is required and must be maintained; certification via PTCB or ExCPT is required within the specified timeframe.