Prior Authorization Pharmacy Technician

Medical University of South Carolina; Charleston (SC); On-site; USD 28,000 - 36,000; Full time

Job summary

The Prior Authorization Pharmacy Technician at Medical University Hospital Authority (MUHA) supports outpatient pharmacy operations by managing the end-to-end prior-authorization process for medications, services, and procedures. You will ensure timely submission of accurate documentation to payers and monitor authorizations and denials.

You will collaborate with clinical and provider teams to safeguard patient access to therapy and help optimize reimbursement while maintaining compliance with

Qualifications

• High School Diploma or Equivalent required.
• 1 year of work experience required.
• Current SC Board of Pharmacy registration and national PTCB certification required and maintained.

Responsibilities

• Manage the end-to-end prior-authorization process for medications, services and procedures in outpatient pharmacy.
• Ensure timely submission of accurate documentation to payers and monitor authorizations and denials.
• Collaborate with clinical and provider teams to safeguard patient access to therapy and optimize reimbursement.

Skills

Prior authorization

Pharmacy operations

Team collaboration

Education

High School Diploma or Equivalent

Tools

SCBOP Registration

PTCB Certification

Job description

Job Description Summary

Entity: Medical University Hospital Authority (MUHA)

Worker Type: Employee

Worker Sub-Type: Regular

Cost Center: CC000741 CHS - University Internal Medicine (RT)

Pay Rate Type: Hourly

Pay Grade: Health-22

Scheduled Weekly Hours: 40

Work Shift:

Job Description

The Prior Authorization Pharmacy Technician supports the outpatient pharmacy operations by managing the end-to-end prior-authorization process for medications, services, and procedures. This role ensures timely submission of accurate documentation to payers, monitors authorizations and denials, collaborates with clinical and provider teams, and helps optimize reimbursement while safeguarding patient access to therapy.

Additional Job Description

• Education: High School Degree or Equivalent
• Work Experience: 1 year
• Current registration as a Pharmacy Technician by the State of South Carolina Board of Pharmacy (SCBOP), and national certification by the Pharmacy Technician Certification Board (PTCB) is required and must be maintained.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees