Remote Pharmacy Tech: Prior Authorizations (Medicare/Medicaid)

Actalent; Orlando (FL); Remote; USD 28.000 - 32.000; Vollzeit

Benefits dieser Stelle

Medical, dental & vision

401(k) Retirement Plan

PTO

Zusammenfassung

Actalent is seeking a Remote Pharmacy Technician to join MedPharma, focusing on Medicare and Medicaid prior authorizations.

Initially you will handle intake and PA setup, then progress to tech reviews, determining coverage according to SOPs and medical documents, all while maintaining HIPAA compliance. This fully remote role offers flexible schedules and potential contract-to-hire in Orlando, FL.

Qualifikationen

• Pharmacy technician with managed care and claims experience.
• Proficient in data entry and pharmacy operations.
• Excellent customer service and ability to work remotely.
• Certified Pharmacy Technician preferred (Cpht).

Aufgaben

• Handle intake of MedPharma prior authorizations and set up PAs.
• Conduct tech reviews and assess coverage.
• Approve or deny medications based on criteria and documents.
• Make clinical determinations on approval or denial.

Kenntnisse

Data entry

Pharmacy tech cert

Customer service

Prior Authorization processes

Ausbildung

Cpht certification

Tools

PA systems

Jobbeschreibung

Actalent is seeking a Remote Pharmacy Technician to join MedPharma, focusing on Medicare and Medicaid prior authorizations.

Initially you will handle intake and PA setup, then progress to tech reviews, determining coverage according to SOPs and medical documents, all while maintaining HIPAA compliance. This fully remote role offers flexible schedules and potential contract-to-hire in Orlando, FL.