Remote PA Pharmacy Tech — Claims Specialist

Insight Global; United States; Remote; USD 28,000 - 30,000; Full time

Job summary

Insight Global is seeking Remote Prior Authorization Pharmacy Technicians to support a large healthcare client. In this role, you will help remove barriers to medication access by working with insurance companies, provider offices, pharmacy teams, and patients to support approvals, claims, refills, adherence, and financial assistance needs.

This is a great opportunity for pharmacy technicians who have experience with prior authorizations, test claims, claims adjudication, and patient support in

Qualifications

• 0–1+ years of experience as a Pharmacy Technician in retail, specialty pharmacy, or a healthcare setting.
• High school diploma or GED is required.
• Active state pharmacy technician license, unless located in a state where this is not required.
• Experience with prior authorizations, test claims, and claims adjudication.
• Ability to work Monday–Friday, 8:30 AM–5:00 PM EST and attend training during the first 5 weeks.

Responsibilities

• Communicate directly with insurance companies to support medication approvals
• Navigate pharmacy operating systems to input data, run test claims, and support claim adjudication
• Document patient concerns, prior authorization updates, financial assistance needs, and claim statuses
• Work with provider offices to review prescription information and support patient care
• Assist patients with pharmacy insurance claims, refills, and medication access questions
• Communicate with patients over the phone regarding medication compliance and pharmacy support
• Work closely with pharmacists, pharmacy liaisons, and internal teams to support quality patient care
• Maintain complete and accurate documentation across systems
• Research and investigate information to support timely follow-up and issue resolution
• Participate in process improvement initiatives and help identify workflow trends or opportunities

Skills

Attention to detail

Communication skills

Remote work

Time management

Education

High school diploma or GED

Tools

Pharmacy systems

Job description

Insight Global is seeking Remote Prior Authorization Pharmacy Technicians to support a large healthcare client. In this role, you will help remove barriers to medication access by working with insurance companies, provider offices, pharmacy teams, and patients to support approvals, claims, refills, adherence, and financial assistance needs.

This is a great opportunity for pharmacy technicians who have experience with prior authorizations, test claims, claims adjudication, and patient support in