[Remote] Pharmacy Tech I (Prior Authorization/PBM)

Note: The job is a remote job and is open to candidates in USA. The client is a retail pharmacy company seeking a Pharmacy Tech I to support a criteria-based prior authorization process. The role handles high-volume calls from members and providers, documents approvals and denials, and escalates clinical questions and judgment calls to pharmacists.

Responsibilities

• This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process
• Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist

Skills

• High-Volume Healthcare Call Center Experience
• Minimum 1 year of inbound call center experience
• Strong customer service and communication skills
• Pharmacy Technician Experience / Knowledge
• Ability to navigate multiple systems while handling calls
• Proficiency with Outlook and MS Teams required
• Strong data entry and documentation skills
• At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function
• National pharmacy technician certification
• Eligible for state registration, certification or licensure per state regulations
• Advanced computer skills including word processing and spreheet utilization
• Excellent customer service skills (written and verbal) a must
• Minimum (1) year experience required in a customer service position with high volume call center experience
• Healthcare, insurance, PBM, pharmacy, medical office, or similar environment preferred
• Pharmacy Technician experience strongly preferred
• Active Pharmacy Technician License, Certification, or Trainee License preferred
• Preferably in healthcare, social services, or a similar service position

Benefits

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities
• Remote work arrangement

Company Overview

Company H1B Sponsorship