Specialty Pharmacy Care & Authorization Specialist

Jobtailor; LaGrange (GA); On-site; USD 22,000 - 33,000; Full time

Job summary

Jobtailor is seeking a Pharmacy Technician to complete benefit investigations and assist with prior authorizations for specialty medications in Georgia. The role collaborates with pharmacists to address patient needs and coordinates outreach for prescriptions and claims.

The successful candidate will have a high school diploma and pharmacy technician experience, with preference for Epic EMR familiarity and prior third-party billing exposure. Post-offer drug testing applies.

Qualifications

• High school diploma or equivalent.
• Registration with Kentucky Board of Pharmacy upon hire date.
• Pharmacy technician experience required.
• Prior experience with third-party billing, financial counseling, or medical terminology and coding preferred.
• Prior experience with Epic electronic medical record preferred.
• Subject to post-offer, pre-employment drug testing.

Responsibilities

• Complete benefit investigations to verify patient eligibility for prescribed specialty medications.
• Maintain current knowledge of payer formularies and reimbursement.
• Support third-party prior authorization processes and obtain appropriate overrides.
• Maintain accurate insurance information and monitor prior authorization renewal needs.
• Triage patient or caregiver clinical questions, medication concerns, and insurance denials to the pharmacist.
• Use the Electronic Health Record to maintain communication and accurate documentation.
• Represent the pharmacy effectively throughout the organization.
• Serve as the primary patient contact for specialty medication needs.
• Liaise with physicians, advanced practice clinicians, pharmacists, nurses, and social workers.
• Facilitate enrollment in patient assistance programs and gather documentation.
• Organize daily outreach tasks for prescription refills, delivery coordination, and claim processing.
• Coordinate patient outreach during clinic visits or via telephone follow-up.
• Track clinic intervention outcomes and support quality improvement goals.

Skills

Pharmacy Technician Experience

Prior Authorization Processes

Third-Party Billing

Patient Outreach Coordination

Benefit Investigations

Education

High school diploma or equivalent

Tools

Epic Electronic Medical Record

Job description

Jobtailor is seeking a Pharmacy Technician to complete benefit investigations and assist with prior authorizations for specialty medications in Georgia. The role collaborates with pharmacists to address patient needs and coordinates outreach for prescriptions and claims.

The successful candidate will have a high school diploma and pharmacy technician experience, with preference for Epic EMR familiarity and prior third-party billing exposure. Post-offer drug testing applies.