Remote Pharmacy Technician – Prior Authorization Expert

Actalent

Orlando (FL)

Remote

USD 25,000 - 26,000

Full time

7 hours ago
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Benefits offered by this job

Medical, dental & vision
401(k) Retirement Plan
Pre-tax and Roth post-tax benefits
Life Insurance
Disability coverage
Paid time off

Job summary

Actalent is hiring 100% remote pharmacy technicians to support a department of a large healthcare insurance company. You will review prior authorizations, approve or deny determinations, and forward some cases to the pharmacist for final review. This remote role spans across time zones and requires HIPAA compliance.

The position is computer-based with minimal phone work. Responsibilities include processing prescription exceptions, entering demographics, resolving billing issues, escalating

Qualifications

  • 2+ years of Pharmacy Technician experience.
  • Prior Authorization experience.
  • Customer service skills.
  • Strong computer skills.
  • Ability to work remote and independently.
  • HIPAA compliant and able to maintain confidentiality.

Responsibilities

  • Process prescription exceptions including resolving claim rejects and member and physician outreach.
  • Enter member demographics and prescription information into the data system.
  • Research and resolve rejected insurance billing issues and escalated member issues.
  • Escalate questions regarding prescriptions to pharmacist for interpretation or processing direction.
  • Assist with inbound and/or outbound patient or physician calls.

Skills

Pharmacy Technician experience
Prior Authorization
Customer Service
Computer skills
HIPAA compliant

Job description

Actalent is hiring 100% remote pharmacy technicians to support a department of a large healthcare insurance company. You will review prior authorizations, approve or deny determinations, and forward some cases to the pharmacist for final review. This remote role spans across time zones and requires HIPAA compliance.

The position is computer-based with minimal phone work. Responsibilities include processing prescription exceptions, entering demographics, resolving billing issues, escalating

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