Remote Pharmacy PA Specialist

Actalent; Atlanta (GA); A distancia; USD 28.000 - 32.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental & vision

401(k) retirement plan

Paid time off

Remote work

Descripción de la vacante

Actalent is seeking a Remote Pharmacy Technician Prior Authorization Specialist to manage Medicare/Medicaid PA workflows in a fully remote setting. You will perform intake, technical review, and coverage determinations while ensuring accurate data entry and strong customer service via phone.

The role emphasizes independence in a structured, supportive team, with evening/weekend shifts and ongoing training to expand from intake to full technical review capabilities.

Formación

• Process PA requests for Medicare/Medicaid patients.
• Gather required information and set up PA cases in internal systems.
• Perform intake and technical review as needed.
• Interpret criteria, SOPs, and insurance documents to make determinations.

Responsabilidades

• Process PA requests for Medicare/Medicaid patients.
• Take in PA requests and set up cases in internal systems.
• Route intake cases to the review team and assist with technical review.
• Conduct technical review of PA cases and make coverage determinations.
• Document decisions clearly in systems, ensuring HIPAA compliance.
• Maintain accurate data entry for each PA case.
• Provide customer service over the phone for PA and coverage inquiries.

Conocimientos

CPhT certification

Pharmacy technician experience

Medicare/ Medicaid knowledge

PA workflows

Data entry accuracy

Phone-based customer service

Remote work independence

HIPAA compliance

Educación

Active Pharmacy Technician Certification (CPhT) or equivalent

Herramientas

MedPharm PA platform

Descripción del empleo

Actalent is seeking a Remote Pharmacy Technician Prior Authorization Specialist to manage Medicare/Medicaid PA workflows in a fully remote setting. You will perform intake, technical review, and coverage determinations while ensuring accurate data entry and strong customer service via phone.

The role emphasizes independence in a structured, supportive team, with evening/weekend shifts and ongoing training to expand from intake to full technical review capabilities.