Remote Pharmacy Technician - Prior Authorization Specialist

Rose International, Inc.; United States; On-site; USD 42,000 - 64,000; Full time

Job summary

Rose International, Inc. is seeking a Certified Pharmacy Technician for a remote, full-time temporary role to process prior authorization requests and interpret clinical criteria during reviews.

The position involves using member claims data, making outbound calls to collect information, and submitting authorizations to payers, with potential appeals assistance. Weekend/holiday shifts may be required.

Qualifications

• High School Diploma or equivalent.
• Certified Pharmacy Technician (PTCB or NHA).
• 1–3 years of prior authorization experience or relevant pharmacy experience.
• Typing speed of at least 35 words per minute.
• Ability to work outside standard business hours, including weekends and holidays.

Responsibilities

• Interprets and applies clinical criteria during the prior authorization review process
• Utilizes member claims history and makes outbound calls to gather necessary information for processing requests
• Submits authorizations to pharmacy and medical claims processors while assisting with appeals as assigned

Skills

Prior authorization experience

Typing speed 35 wpm

Flexible schedule

Education

High School Diploma or equivalent

Job description

Rose International, Inc. is seeking a Certified Pharmacy Technician for a remote, full-time temporary role to process prior authorization requests and interpret clinical criteria during reviews.

The position involves using member claims data, making outbound calls to collect information, and submitting authorizations to payers, with potential appeals assistance. Weekend/holiday shifts may be required.