Remote Pharmacy Technician – Prior Authorization Specialist

Actalent

Orlando (FL)

Remote

USD 25,000 - 32,000

Full time

9 days ago
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Benefits offered by this job

Medical, dental & vision
401(k) Retirement Plan
Life Insurance
Paid time off (PTO)

Job summary

Actalent is hiring 100% remote pharmacy technicians to review prior authorizations for a department within a large healthcare insurance company. The role involves approving or denying authorizations and routing to pharmacists for final review, handling all health plans and medications, with minimal phone work.

The position is contract-to-hire, fully remote, and requires a quiet, HIPAA-compliant home office.

Qualifications

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

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 ability
HIPAA compliance

Tools

Data processing system

Job description

Actalent is hiring 100% remote pharmacy technicians to review prior authorizations for a department within a large healthcare insurance company. The role involves approving or denying authorizations and routing to pharmacists for final review, handling all health plans and medications, with minimal phone work.

The position is contract-to-hire, fully remote, and requires a quiet, HIPAA-compliant home office.

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