Remote Pharmacy Technician - Prior Authorization Pro

Actalent; Orlando (FL); Remote; USD 25,000 - 32,000; Full time

Benefits offered by this job

Medical Insurance

Dental & Vision

401(k) Retirement Plan

Paid Time Off

Job summary

Actalent is hiring 100% remote pharmacy technicians to review prior authorizations for a large healthcare insurance department. You will approve or deny authorizations, handle health plans and medications, and forward cases to pharmacists when needed.

Responsibilities include processing prescription exceptions, data entry, solving billing issues, and supporting calls with patients or physicians. Must have 2+ years in pharmacy tech and be able to work remotely in a HIPAA-compliant setting.

Qualifications

• 2+ years of Pharmacy Technician experience.
• Prior Authorization experience.
• Customer service skills.
• Strong computer and data-entry skills.
• Ability to work remotely and independently.
• HIPAA compliance and privacy awareness.

Responsibilities

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

Skills

Pharmacy Technician experience

Prior Authorization

Customer Service

Computer skills

Remote work

HIPAA compliance

Job description

Actalent is hiring 100% remote pharmacy technicians to review prior authorizations for a large healthcare insurance department. You will approve or deny authorizations, handle health plans and medications, and forward cases to pharmacists when needed.

Responsibilities include processing prescription exceptions, data entry, solving billing issues, and supporting calls with patients or physicians. Must have 2+ years in pharmacy tech and be able to work remotely in a HIPAA-compliant setting.