Remote Pharmacy Technician — Prior Authorization Specialist

United Parcel Service; Carver (MA); À distance; USD 25 000 - 28 000; Plein temps

Résumé du poste

Actalent is seeking a Remote Pharmacy Technician to support prior authorizations for a large health insurance partner. This 100% remote role involves reviewing prior authorizations, approving or denying, and routing to pharmacists when needed.

You will handle multiple health plans, enter data, resolve billing issues, and communicate with members or physicians. Requires 2+ years of pharmacy tech experience, Prior Authorization experience, and strong computer and problem-solving skills.

Qualifications

• 2+ years of Pharmacy Technician experience.
• Prior Authorization experience.
• Customer Service experience.
• Computer skills.
• Ability to work remote and independently.

Responsabilités

• 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

Connaissances

Pharmacy Technician experience

Prior Authorization experience

Customer Service experience

Computer skills

Remote work ability

Description du poste

Actalent is seeking a Remote Pharmacy Technician to support prior authorizations for a large health insurance partner. This 100% remote role involves reviewing prior authorizations, approving or denying, and routing to pharmacists when needed.

You will handle multiple health plans, enter data, resolve billing issues, and communicate with members or physicians. Requires 2+ years of pharmacy tech experience, Prior Authorization experience, and strong computer and problem-solving skills.