Remote Medication Access & Prior Authorization Specialist

The General Hospital Corporation; Somerville (MA); Remote; USD 31,000 - 38,000; Full time

Job summary

Mass General Brigham Medical Group, Inc. is seeking a Pharmacy Technician to support medication management in a clinic setting.

The role involves processing renewal requests, assisting with prior authorizations, and coordinating with prescribers and pharmacies to ensure timely access to medications. Responsibilities include handling electronic prescribing when available, guiding patients on insurance procedures, and maintaining clear communication with the care team.

Qualifications

• Previous pharmacy technician experience in a hospital, retail, specialty, ambulatory pharmacy required.
• Experience with prior authorizations, insurance billing, rejected claims, medication access, patient-assistance programs, or specialty medications required.
• Experience using electronic medical records, pharmacy systems, insurance portals, and Microsoft Outlook required.

Responsibilities

• Supports the clinic by assisting with patient medication management.
• Receives, reviews, and facilitates requests for medication renewal.
• Reviews requests according to guidelines, pends requests in the electronic medical record, and routes them to the prescriber for review and signature.
• When electronic prescribing is not available, acts as an agent of the provider to transmit prescription information to pharmacies by phone, fax, or paper.
• Acts as a resource for patients on procedures for obtaining prescriptions, generic medications, prior approval requirements, insurance procedures, and other medication-related issues.
• Completes medication prior authorization paperwork or e-Forms for signoff by the clinical care team in collaboration with the patient.
• Monitors the progress of prior authorization status throughout the review process, updating appropriate parties as necessary.

Skills

Pharmacy tech exp

Prior authorizations

EMR/Pharmacy systems

Education

High School Diploma or Equivalent

Job description

Mass General Brigham Medical Group, Inc. is seeking a Pharmacy Technician to support medication management in a clinic setting.

The role involves processing renewal requests, assisting with prior authorizations, and coordinating with prescribers and pharmacies to ensure timely access to medications. Responsibilities include handling electronic prescribing when available, guiding patients on insurance procedures, and maintaining clear communication with the care team.