Remote Pharmacy Technician - Prior Authorization Pro

Advanced Technology Services; Highland Park (MI); On-site; USD 25,000 - 28,000; Full time

Benefits offered by this job

Medical benefits

401(k) plan

HSA

Paid time off

Job summary

Actalent is seeking a 100% remote Pharmacy Technician to handle tasks across Formulary Management, Audit and Recovery, and Medicare operations. You will review requests, research issues, and collaborate with pharmacists or regional medical directors as needed.

Responsibilities include intake processing, prior authorization reviews, data entry, and provider/member communications to resolve cases efficiently.

Qualifications

• Pharmacy Technician license is required.
• At least 2 years of Pharmacy Technician experience.
• Experience with Prior Authorization processes is essential.
• Accurate data entry skills are 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 as needed.
• Route denials to the pharmacist queue for double‑checking.
• Remediate cases requiring error correction or overturns.
• Manage cases in the Manual Outreach queue and communicate decisions via call or fax.

Skills

Pharmacy Technician license

2 years experience

Prior Authorization

Data entry

Job description

Actalent is seeking a 100% remote Pharmacy Technician to handle tasks across Formulary Management, Audit and Recovery, and Medicare operations. You will review requests, research issues, and collaborate with pharmacists or regional medical directors as needed.

Responsibilities include intake processing, prior authorization reviews, data entry, and provider/member communications to resolve cases efficiently.