Remote Prior-Authorization Pharmacy Technician

Actalent; Houston (TX); A distancia; USD 28.000 - 30.000; Jornada completa

Descripción de la vacante

Actalent is seeking a dedicated Pharmacy Technician to support Medicare and Medicaid patients with prior authorizations in a 100% remote role based out of Houston, TX. You will intake PA requests, perform technical review, and determine coverage.

The role requires Cpht certification, data-entry experience, strong customer service, and the ability to work independently. Training runs weekdays 10:00 AM–6:30 PM EST, with holiday rotations; post-training, schedule varies with full benefits.

Formación

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

Responsabilidades

• Handle the 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.

Conocimientos

Pharmacy Technician

Data entry

Prior Authorization

Customer service

Computer skills

Remote work

Educación

CPHT certification

Descripción del empleo

Actalent is seeking a dedicated Pharmacy Technician to support Medicare and Medicaid patients with prior authorizations in a 100% remote role based out of Houston, TX. You will intake PA requests, perform technical review, and determine coverage.

The role requires Cpht certification, data-entry experience, strong customer service, and the ability to work independently. Training runs weekdays 10:00 AM–6:30 PM EST, with holiday rotations; post-training, schedule varies with full benefits.