Prior Authorization Specialist

Talentify

Cary (NC)

On-site

USD 28,000 - 33,000

Full time

3 days ago
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Benefits offered by this job

Medical, dental & vision
401(k) Retirement Plan
PTO/Vacation/Sick Leave
Life Insurance (Voluntary)
Transportation benefits

Job summary

Talentify seeks a dedicated Pharmacy Technician to join our Cary, NC office. The role focuses on handling calls from patients, manufacturers, and insurers, gathering documentation for prior authorizations, and submitting records per insurer requirements.

Candidates should have a CPhT certification and retail pharmacy exposure. The position offers weekday hours, onsite work, and potential for full-time employment based on performance and business needs.

Qualifications

  • Pharmacy technician certification (CPhT) required.
  • Experience in data entry and call center environments preferred.
  • Familiarity with retail pharmacy operations.
  • Pharmacy technician license is a plus.

Responsibilities

  • Answer inbound calls from patients, manufacturers, and insurance companies.
  • Make outbound calls to patients, insurance companies, and manufacturers regarding patient cases.
  • Acquire clinical documentation from providers for prior authorization approvals.
  • Submit clinical documentation to insurance companies according to their submission requirements.
  • Follow up on prior authorization submissions to check for approvals.
  • Learn and use the pharmacy management system to process pharmacy claims.
  • Adhere to standard operating procedures to maintain accurate records.
  • Maintain effective communication with team leaders and colleagues.
  • Ensure attention to detail in all tasks.

Skills

Critical thinking
Communication
Prior authorizations
Independent work
Adaptability
Microsoft Teams
Microsoft Outlook

Education

Pharmacy technician certification (CPhT)
Pharmacy license

Job description

Job Title: Pharmacy TechnicianJob Description

We are seeking a dedicated Pharmacy Technician to join our team, working onsite in Cary, NC. The role involves engaging with patients, manufacturers, and insurance companies, ensuring professional communication at all times. This position offers the opportunity to become a Subject Matter Expert and potential for full-time employment based on performance and availability.

Responsibilities
  • Answer inbound calls from patients, manufacturers, and insurance companies.
  • Make outbound calls to patients, insurance companies, and manufacturers regarding patient cases.
  • Acquire clinical documentation from providers for prior authorization approvals.
  • Submit clinical documentation to insurance companies according to their submission requirements.
  • Follow up on prior authorization submissions to check for approvals.
  • Learn and use the pharmacy management system to process pharmacy claims.
  • Adhere to standard operating procedures to maintain accurate records.
  • Maintain effective communication with team leaders and colleagues.
  • Ensure attention to detail in all tasks.
Essential Skills
  • Critical thinking and problem-solving skills.
  • Excellent communication and customer service abilities.
  • Prior experience in obtaining prior authorizations is advantageous.
  • Ability to work independently with minimal guidance.
  • Adaptability to changing assignments.
  • Proficiency in Microsoft Teams and Microsoft Outlook.
Additional Skills & Qualifications
  • Pharmacy technician certification (CPhT).
  • Experience in data entry and call center environments.
  • Familiarity with retail pharmacy operations.
  • Pharmacy technician license is a plus.
Work Environment

This position is based in an office environment with no direct patient contact. The work schedule is Monday through Friday, 9:30 AM to 6:30 PM EST, with a 1-hour unpaid lunch break. The office is closed on major holidays and weekends. This is a rapidly growing specialty pharmacy that values employee engagement and offers a supportive multi-disciplinary team.

Job Type & Location

This is a Contract position based out of Cary, NC.

Pay and Benefits

The pay range for this position is $20.00 - $24.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Cary,NC.

Application Deadline

This position is anticipated to close on Oct 19, 2026.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

San Francisco Fair Chance Ordinance:

Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector:

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI):

We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

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