Remote Pharmacy Technician: Prior Authorization Expert

Actalent; Birmingham (AL); Remote; USD 25,000 - 28,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan - Pre-tax and R

Life Insurance

Short and long-term disability

Health Spending Account (HSA)

Transportation benefits

Employee Assistance Program

Time Off/Leave

Job summary

Actalent is seeking a remote Pharmacy Technician to support formulary management, prior authorization, and Medicare/State programs. The role involves reviewing requests, researching questions, and coordinating with pharmacists and medical directors.

This contract-to-hire position offers a remote work setup with pay between $18 and $20 per hour, with eligibility for company benefits after conversion. Located near Birmingham, AL, but fully remote.

Qualifications

• Pharmacy Technician license must be active.
• Minimum 2 years Pharmacy Technician experience.
• Experience with Prior Authorization processes.
• Accurate data entry skills required.

Responsibilities

• Train on Intake and Technician Review processes.
• Enter all information on the prior authorization request form into a Compass case during Intake.
• Verify intake accuracy and compare prior authorization requests and clinical documentation against criteria.
• Determine if requests can be approved or if additional information is needed.
• Contact the office for missing information if necessary.
• Route denials to the pharmacist queue for double-checking.
• Remediate cases requiring error correction or determination overturns.
• Manage cases in the Manual Outreach queue, communicating decisions via call or fax to providers and/or members.

Skills

Pharmacy Technician license

2 years experience

Prior Authorisation

Data entry

Job description

Actalent is seeking a remote Pharmacy Technician to support formulary management, prior authorization, and Medicare/State programs. The role involves reviewing requests, researching questions, and coordinating with pharmacists and medical directors.

This contract-to-hire position offers a remote work setup with pay between $18 and $20 per hour, with eligibility for company benefits after conversion. Located near Birmingham, AL, but fully remote.