Prior Authorization - Pharmacy Technician

LanceSoft Inc.,; Monroeville (Allegheny County); Remote; USD 10,000 - 60,000; Full time

Job summary

A leading company in IT Services is seeking a Tech I to assist in the prior authorization process for healthcare providers. The role involves inbound calls, documentation of reviews, and communication with pharmacists. Candidates must have a high school diploma, experience in customer service, and a valid Pharm Tech license.

Qualifications

• Minimum of 1 year experience in a high-volume customer service call center.
• Active unencumbered Pharm Tech license required.

Responsibilities

• Handles inbound calls from providers, pharmacies, and members.
• Documents approvals and denials of prior authorizations.
• Transfers clinical questions to the pharmacist team.

Skills

Customer Service

Communication

Education

High School diploma or GED

Job description

2 days ago Be among the first 25 applicants

Estimated Length of Assignment: 06+ Months (With possible extension)

(The dates provided are only an estimate and not a guarantee)

Est. Pay Range: $15.00/hour – $20.00/hour on W2 (USD)

Location: Remote

Schedule:

Monday to Friday, 11am - 11pm CST (multiple shifts; client will determine shifts after training; candidates can bid on their preferred shift)

Preference: PST

Duties:

The Tech I Prior Auth handles inbound calls from providers, pharmacies, members, etc., providing professional and courteous assistance through the prior authorization process. Maintains complete, timely, and accurate documentation of reviews. Transfers clinical questions, escalations, and judgment calls to the pharmacist team.

Additional duties may include outbound calls, reviewing and processing Prior Auths received via fax and ePA, monitoring and responding to inquiries via department mailboxes, and other tasks as assigned by leadership.

Experience:

• Must understand they cannot be the primary caregiver during scheduled work hours.
• Must provide own high-speed internet with a minimum speed of 25 Mbps download and 3 Mbps upload (check via www.speedtest.net).
• Require a private, dedicated work area used solely for business during work hours.
• Current living situation must be stable.
• Must comply with Teleworker Privacy Practices to protect client property and confidential information, ensuring work area security, and maintaining confidentiality during work hours.

Minimum of 1 year experience in a high-volume customer service call center, preferably in healthcare or social services.

Active unencumbered Pharm Tech license required in the state of residence.

Position Summary:

This role involves handling incoming calls from members, providers, etc., providing assistance through the prior authorization process, documenting approvals and denials, and transferring clinical questions to pharmacists.

Education:

Verifiable High School diploma or GED required.

Active unencumbered Pharm Tech license required in the state of residence.

If interested and qualified, please contact me at (517)-678-0598.

Seniority level

• Entry level

Employment type

• Contract

Job function

• Health Care Provider

Industries

• IT Services and IT Consulting