Remote Pharmacy Technician — Prior Auth & Appeals Specialist

Actalent; Chattanooga (TN); À distance; USD 28 000 - 40 000; Plein temps

Avantages offerts par ce poste

Medical, dental & vision

401(k) retirement plan

Life Insurance

PTO / Paid time off

Résumé du poste

Actalent is seeking a Certified Pharmacy Technician (PTCB) to support pharmacy prior authorizations, exceptions, and appeals. This fully remote role is for candidates residing within 2 hours of Chattanooga, TN.

The ideal candidate has strong pharmacy knowledge, excellent communication skills, and can work independently with high accuracy. Responsibilities include processing PA requests, data entry, and coordinating with internal teams while maintaining HIPAA compliance.

Qualifications

• National Pharmacy Technician Certification (PTCB) required.
• Active Certified Pharmacy Technician (CPhT) credential preferred.
• Residence within 2 hours of Chattanooga, TN.
• Strong knowledge of pharmacy processes and terminology.
• Proficiency with Microsoft Office Suite (Outlook, Word, Excel, and PowerPoint).
• Excellent verbal and written communication skills.
• Strong organizational and multitasking abilities.
• Independent work with minimal supervision.
• Attention to detail and quality.

Responsabilités

• Review and process pharmacy prior authorization requests, exceptions, and appeals from providers and members.
• Accept and manage incoming calls and requests related to pharmacy benefit services.
• Enter authorizations and test claims within the pharmacy benefit management system.
• Perform data entry, system updates, and claim adjudication activities.
• Maintain accurate records, tracking logs, and documentation.
• Support departmental audits and quality assurance initiatives.
• Collaborate with internal teams to ensure timely and accurate resolution of requests.
• Adhere to HIPAA and company compliance requirements.

Connaissances

PTCB certification

CPhT credential

MS Office

Description du poste

Actalent is seeking a Certified Pharmacy Technician (PTCB) to support pharmacy prior authorizations, exceptions, and appeals. This fully remote role is for candidates residing within 2 hours of Chattanooga, TN.

The ideal candidate has strong pharmacy knowledge, excellent communication skills, and can work independently with high accuracy. Responsibilities include processing PA requests, data entry, and coordinating with internal teams while maintaining HIPAA compliance.