Prior Authorization Pharmacy Technician — Call Center

Healthcare Support Staffing; Glen Ellen (CA); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Competitive salary

Medical benefits

Dental benefits

Vision benefits

Job summary

A leading health benefits company in California seeks a Pharmacy Technician for their call center. The candidate will manage 30-50 inbound calls per day, addressing prior authorization and prescription approval inquiries. Responsibilities include evaluating pharmacy requests, communicating decisions, and assisting medical staff. Applicants must have a Pharm Tech Certification or PTCB, along with experience in a retail or dispensing role. This role offers a competitive salary and benefits including medical, dental, and vision, with Monday through Friday scheduling.

Qualifications

• Must hold Pharm Tech Certification in Virginia or national certification.
• Minimum of 6 months of dispensing or retail experience.
• Knowledge of specialty injectable prescription drugs and health plan formulary management.

Responsibilities

• Answer 30-50 inbound calls daily from enrollees or providers.
• Evaluate and authorize prior authorization pharmacy requests.
• Communicate decisions to medical staff and document outcomes.

Skills

Pharmacy computerized systems proficiency

Medical terminology

Problem-solving skills

Knowledge of prior authorization

Education

Pharm Tech Certification or PTCB

Tools

MS Office Product Suite

Job description

A leading health benefits company in California seeks a Pharmacy Technician for their call center. The candidate will manage 30-50 inbound calls per day, addressing prior authorization and prescription approval inquiries. Responsibilities include evaluating pharmacy requests, communicating decisions, and assisting medical staff. Applicants must have a Pharm Tech Certification or PTCB, along with experience in a retail or dispensing role. This role offers a competitive salary and benefits including medical, dental, and vision, with Monday through Friday scheduling.