Remote Pharmacy Tech: Prior Authorization Specialist

A-Line Staffing Solutions

Woonsocket (RI)

Remote

USD 55,104,000 - 60,614,000

Full time

3 days ago
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Job summary

A-Line Staffing Solutions is seeking a Remote Pharmacy Technician for a high-volume Prior Authorization call center. In this work-from-home role, you’ll handle inbound calls from members, providers, and pharmacies, document interactions in real time, and support the prior authorization process with strong customer service.

The position requires 1+ year of high-volume inbound call center experience in healthcare or related fields, familiarity with HIPAA, and ability to work a structured schedule

Qualifications

  • High school diploma or GED (verifiable).
  • 1+ year high-volume inbound call center experience (healthcare, insurance, PBM, pharmacy, medical office, or similar preferred).
  • Pharmacy technician experience strongly preferred; active Pharmacy Tech license/certification/trainee license is a plus.
  • Strong computer skills and accurate data entry; comfortable multitasking on dual systems while on calls.
  • Proficient with Microsoft Teams and Outlook (Word/Excel helpful).
  • Work-from-home readiness: private HIPAA-compliant workspace + hardwired internet (minimum 25 Mbps download / 3 Mbps upload).

Responsibilities

  • Handle high-volume inbound calls from members, providers, and pharmacies regarding prior authorization status and next steps
  • Document approvals/denials and call notes clearly and accurately while on the phone
  • Support criteria-based prior authorization workflows; route clinical questions to the appropriate clinical team
  • Work efficiently across multiple systems (CRM/case tools, email, chat, portals) while maintaining quality and compliance
  • Use Microsoft Teams and Outlook daily for communication, documentation, and updates
  • Maintain HIPAA/PHI confidentiality standards and follow call quality guidelines

Skills

Customer service
Data entry
Multitasking
Computer skills

Education

High school diploma or GED

Tools

Microsoft Teams
Outlook
CRM systems

Job description

A-Line Staffing Solutions is seeking a Remote Pharmacy Technician for a high-volume Prior Authorization call center. In this work-from-home role, you’ll handle inbound calls from members, providers, and pharmacies, document interactions in real time, and support the prior authorization process with strong customer service.

The position requires 1+ year of high-volume inbound call center experience in healthcare or related fields, familiarity with HIPAA, and ability to work a structured schedule

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