Prior Authorization Pharmacy Technician

Medical University of South Carolina; South Park (WV); On-site; USD 25,000 - 36,000; Full time

Job summary

Medical University of South Carolina seeks an Registered Technician to support outpatient pharmacy operations under supervision. The role focuses on the end-to-end prior-authorization process, ensuring timely and accurate payer submissions and monitoring authorizations and denials to safeguard patient access to therapy.

Certification and registration requirements apply (SCBOP, PTCB/ExCPT). The position emphasizes collaboration with clinical teams and ongoing compliance with guidelines and payer

Qualifications

• High School Diploma or equivalent is required.
• Active SCBOP registration as a Pharmacy Technician is required.
• Certification by PTCB or ExCPT is required and must be maintained.

Responsibilities

• Supports outpatient pharmacy operations by managing end-to-end prior-authorization processes.
• Ensures timely submission of accurate documentation to payers.
• Monitors authorizations and denials and communicates with care teams.
• Collaborates with clinical and provider teams to optimize reimbursement.
• Safeguards patient access to therapy through accurate processing.

Skills

Attention to detail

Teamwork

Time management

Education

High School Diploma or equivalent

SCBOP registration

PTCB or ExCPT certification

Tools

Pharmacy software systems

Job description

Job Description Summary

Performs duties of a Registered Technician under the direction of a supervising pharmacist to support daily pharmacy operations. This position performs routine and clerical function for drug distribution to patients and can perform independently within their scope of responsibility.

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type

Classified

Cost Center

CC004156 CHS - Pharmacy Services Affiliations

Pay Rate Type

Hourly

Pay Grade

Health-21

Scheduled Weekly Hours

40

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: 0-6months
Current registration as a Pharmacy Technician by the State of South Carolina Board of Pharmacy (SCBOP)is required and must be maintained. Must obtain and maintain Pharmacy Technician Certification (Pharmacy Technician Certification Board (PTCB) or Exam for the Certification of Pharmacy Technicians (ExCPT)) certification:

• Team members as of 11/1/2023: within 1 year of 11/1/2023.
• New Team members as of 11/1/2023: within 6 months of hire.
• New team members who are enrolled or will enroll ina pharmacy technician training program accredited by the American Society of Health-System Pharmacists (ASHP) and/or recognized by PTCB, have 30 days post program completion to obtain certification.

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

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