Remote Pharmacy Technician

Insight Global; United States; On-site; USD 51,577,000 - 74,501,000; Full time

Job summary

Insight Global is seeking a Prior Authorization Pharmacy Technician to support members, providers and pharmacies by processing prior authorization requests for prescription medications. You will handle high-volume inbound calls, verify information, and collaborate with pharmacists to ensure timely access to medications and regulatory compliance.

The role requires active pharmacy technician licensure (PTCB or state board) and 6+ months of healthcare call center experience, with proficiency in

Qualifications

• Over 6 months of healthcare call center experience; prior authorizations exposure preferred.
• Active National PTCB and/or State Board of Pharmacy Technician Licensure.
• Proficient with Microsoft Excel, Word, Outlook and general PC skills.

Responsibilities

• Process prior authorization requests for prescription medications with accuracy and regulatory compliance.
• Answer inbound calls from providers, members and pharmacies (80–100 per day) with professionalism.
• Gather and verify clinical information to support coverage determinations.
• Collaborate with pharmacists to support timely access to medications and positive patient outcomes.

Skills

Call center experience

Healthcare experience

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

Active National (PTCB) and/or State Board of Pharmacy Technician Licensure

-6+ months of call center experience in healthcare environment, ideally with prior authorizations exposure

-Technology savvy - Basic proficiency with Microsoft Excel (ability to create, edit, and save a basic spreadsheet), Microsoft Word (ability to create, edit, and save a basic document) and basic proficiency with Microsoft Outlook (ability to send emails) and working skills with a PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens)

Job Description

The Prior Authorization Pharmacy Technician is responsible for supporting members, providers, and pharmacies by processing prior authorization requests for prescription medications while ensuring excellent customer service, accuracy, and compliance with regulatory requirements. The Pharmacy Technician will answer inbound calls (up to 80 to 100 calls per day) from providers/members and electronic inquiries related to prior authorizations (PAs) with a high level of professionalism, empathy, and customer service. Demonstrate the ability to accurately capture and verify information provided by prescribers, members, and pharmacies to support timely and compliant medication access decisions. This role involves receiving and reviewing authorization requests via phone, fax, and electronic systems, gathering and verifying clinical information, documenting interactions, evaluating requests against coverage criteria and benefit plans, and collaborating with pharmacists to support coverage determinations. The technician manages a high-volume workload, prioritizes requests based on service level agreements and turnaround times, maintains accurate records, resolves coverage-related issues, and communicates effectively with providers, members, pharmacies, and internal teams to facilitate timely access to medications and positive patient outcomes. This position will take incoming requests for prior authorizations, for formulary and non-formulary medications (this can include Commercial, Part D, High Touch Clients, Community and State cliental, Adherence and Monitoring and Prior Authorization Clinical Appeals), while ensuring a high level of customer service and maximizing productivity. Requests can be received via fax or telephone, from providers' offices and pharmacists. The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs). The technician must provide the information clearly, accurately and in a professional manner.