Remote Pharmacy Technician - Prior Authorization Pro

NTT DATA Group Corporation

New Shoreham (RI)

Remote

USD 28,000 - 29,000

Full time

2 days ago
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Benefits offered by this job

Medical, dental, and vision insurance
Flexible spending or Health Savings (F
401k with company match
Paid time off
Employee assistance program

Job summary

NTT DATA is seeking a Pharmacy Technician I - Prior Authorization to provide professional support to members, healthcare providers, and pharmacies through the prior authorization process. You will handle high-volume inbound calls, document reviews, and escalate questions to pharmacists as needed.

The role is remote with full-time, 8-hour shifts. Training runs Monday–Friday, with post-training shifts between 8:00 AM and 12:00 AM CT; weekend work may be required based on business needs.

Qualifications

  • Verifiable High School Diploma or GED.
  • Minimum 1 year of customer service experience in a high-volume call center.
  • Minimum 1 year of proficiency with Microsoft Outlook and Teams.
  • Ability to work a schedule including potential weekend requirements.

Responsibilities

  • Handle high-volume inbound calls from members, providers, pharmacies, and other customers.
  • Assist callers with the criteria-based prior authorization process while providing excellent customer service.
  • Maintain complete, timely, and accurate documentation of prior authorization reviews.
  • Review and process prior authorization requests received through fax, electronic portals, and other channels.
  • Escalate clinical questions to the pharmacist team.
  • Communicate with internal teams regarding prior authorization status and determinations.
  • Monitor and respond to inquiries received through department mailboxes.
  • Perform outbound calls and other administrative support duties as needed.
  • Follow departmental, company, state, and federal requirements when processing information.

Skills

Customer service
Communication
Data entry
Documentation
Time management

Education

High school diploma or GED

Tools

Microsoft Outlook
Microsoft Teams

Job description

NTT DATA is seeking a Pharmacy Technician I - Prior Authorization to provide professional support to members, healthcare providers, and pharmacies through the prior authorization process. You will handle high-volume inbound calls, document reviews, and escalate questions to pharmacists as needed.

The role is remote with full-time, 8-hour shifts. Training runs Monday–Friday, with post-training shifts between 8:00 AM and 12:00 AM CT; weekend work may be required based on business needs.

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