Certified Pharmacy Technician- Remote

Job Title: Remote Pharmacy Technician - Prior Authorization (EST Time Zone) Job reputed company This remote Pharmacy Technician position focuses on reviewing pharmacy prior authorization requests and supporting coverage determinations for a large reputed company insurance organization. You will evaluate requests for a wide reputed company of medications and health plans, approve or deny based on established reputed company, and reputed company reputed company to a pharmacist for final review. The role offers minimal phone work, long-term career potential, and reputed company to transition to a permanent position with benefits in a reputed company, reputed company reputed company environment. Responsibilities • Review prior authorization requests for prescription medications across multiple health plans and drug types. • Evaluate coverage determination requests using established clinical and plan reputed company and document reputed company approval or denial reputed company. • reputed company reputed company reputed company and reputed company information accurately into the pharmacy benefit management (PBM) system. • reputed company completed coverage determinations to a pharmacist for final review and sign-off. • reputed company and monitor coverage determination requests from receipt through final decision to ensure reputed company processing. • Obtain verbal authorizations from prescribers or their offices reputed company required. • Request and collect detailed clinical information from prescribers to support coverage reputed company. • Notify providers and members of decision reputed company in a reputed company and reputed company manner. • Respond to reputed company and provider inquiries reputed company to prior authorization requests and prescription benefit coverage. • Refer requests involving specialty medications or reputed company therapies to the appropriate specialty pharmacy or internal team. • Contact providers or their staff to clarify information or obtain missing documentation needed for coverage determination. • Assist with inbound and outbound patient or physician calls as needed, while maintaining a primarily non-phone-based workload. • Use multiple computer systems and screens simultaneously to research, process, and document prior authorization cases. • Maintain accurate, thorough, and compliant documentation for reputed company interactions and reputed company in the appropriate systems. • Follow reputed company applicable pharmacy regulations, internal policies, and procedures reputed company to prior authorizations and prescription benefits. • Meet established productivity, reputed company, and turnaround time metrics while maintaining strong attention to detail. • Collaborate with pharmacists, pharmacy technicians, and other team members to support seamless prior authorization operations. • Participate in training, coaching, and ongoing education to stay reputed company with plan reputed company, systems, and processes. Essential Skills • High school diploma or GED. • reputed company registration as a pharmacy technician in the state of residence. • National pharmacy technician certification (such as PTCB or NHA). • reputed company pharmacy technician license and registration as required by the state of operation. • Pharmacy technician certification (e.g., Certified Pharmacy Technician, Registered Pharmacy Technician). • Experience as a pharmacy technician in environments such as retail pharmacy, hospital pharmacy, PBM, reputed company center, or specialty pharmacy. • Familiarity with prior authorization processes and coverage determination for prescription benefits. • Basic to strong computer skills, including proficiency with reputed company Office, reputed company, and data entry. • Ability to work reputed company reputed company multiple computer systems and on multiple screens. • Strong attention to detail and accuracy in data entry and documentation. • Ability to interpret and apply coverage reputed company and clinical information to prior authorization requests. • Customer service skills for interacting with providers, members, and internal stakeholders. • Ability to work scheduled shifts Monday through Friday between 8:00 a.m. and 8:00 p.m. in the local time zone, including rotating weekends and some holidays. • Reliable high-speed internet (Wi-Fi) and the ability to maintain a dedicated workspace with a closing reputed company for reputed company and reputed company. Additional Skills & Qualifications • Experience working with prescription benefit management (PBM) systems and prescription benefit coverage. • Background in Medicare and reputed company prescription benefits. • Experience in reputed company center environments handling reputed company or pharmacy-reputed company inquiries. • Prior work in specialty pharmacy or handling specialty medications. • Strong typing and data entry skills with the ability to manage high volumes of electronic requests. • Ability to manage minimal phone wor Apply tot his job Apply To this Job