Remote Prior Authorization Pharmacy Tech (Medicare/Medicaid)

ACTalent; St. Louis (MO); À distance; USD 28 000 - 30 000; Plein temps

Avantages offerts par ce poste

Medical/dental/vision

401(k) plan

Life insurance

Disability insurance

HSA

Transit benefits

Employee assistance program

PTO/Vacation/Sick leave

Résumé du poste

Actalent is seeking a dedicated Pharmacy Technician to support Medicare and Medicaid patients, focusing on prior authorizations in a remote MedPharm environment.

The role handles intake and technical review, approving or denying medications based on criteria, and communicating with clients by phone. Training and structured schedules are provided, with equity in benefits and flexible work arrangements.

Qualifications

• Pharmacy Technician certification required.
• Experience in data entry and managed care is required.
• Prior Authorization processing experience preferred.
• Strong customer service skills and claims handling experience.
• Proficient with computers and office software.
• Ability to work independently and remotely.

Responsabilités

• Handle intake of MedPharm prior authorizations and forward to review.
• Conduct tech review by validating PA cases for coverage.
• Approve or deny medications based on clinical determinations and eligibility.
• Read and interpret criteria, SOPs, insurance documents, and medical records.
• Provide excellent customer service over the phone.

Connaissances

Pharmacy Technician certification

Data entry & managed care

Prior Authorization processing

Customer service & claims handling

Strong computer skills

Remote work ability

Formation

Certified Pharmacy Technician (Cpht) certification

Description du poste

Actalent is seeking a dedicated Pharmacy Technician to support Medicare and Medicaid patients, focusing on prior authorizations in a remote MedPharm environment.

The role handles intake and technical review, approving or denying medications based on criteria, and communicating with clients by phone. Training and structured schedules are provided, with equity in benefits and flexible work arrangements.