Remote Pharmacy Technician – Prior Authorization Specialist

Actalent; Orlando (FL); Remote; USD 28,000 - 30,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) retirement plan

Life insurance

Short and long-term disability

Health Spending Account

Transportation benefits

Employee Assistance Program

Paid time off

Job summary

Actalent in Orlando, FL is seeking a dedicated Pharmacy Technician to support Medicare/Medicaid prior authorizations in a remote MedPharm environment. You will handle intake and perform technical review tasks.

Responsibilities include reviewing PA cases, determining coverage, and approving or denying medications based on criteria. The role emphasizes HIPAA-compliant customer service and strong communication skills.

Qualifications

• Pharmacy Technician certification required.
• Experience in data entry and managed care.
• Prior Authorization processing.
• Proficiency in customer service and handling claims.
• Strong computer skills.
• Ability to work independently and remotely.

Responsibilities

• Handle intake of MedPharm prior authorizations, setting them up in the system and forwarding to the review technician.
• Conduct Tech Review by receiving PA cases from the intake team and reviewing them to determine coverage.
• Approve or deny medications based on clinical determinations and eligibility criteria.
• Read and interpret criteria, SOPs, insurance documents, and medical documents to make informed decisions.
• Provide excellent customer service over the phone, managing conversations and redirecting when necessary.

Skills

Pharmacy Tech cert

Data entry

Prior Authorization

Customer service

Computer skills

Remote work

Education

CPHT certification

Job description

Actalent in Orlando, FL is seeking a dedicated Pharmacy Technician to support Medicare/Medicaid prior authorizations in a remote MedPharm environment. You will handle intake and perform technical review tasks.

Responsibilities include reviewing PA cases, determining coverage, and approving or denying medications based on criteria. The role emphasizes HIPAA-compliant customer service and strong communication skills.