Pharmacy Technician - Prior Authorizations

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At reputed company®, you'll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Job Summary The Tech I, Prior Authorizations takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to reputed company callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers reputed company clinical questions, escalations and judgement calls to the pharmacist team. The Tech I will also assist with other duties as needed to include but not limited to: outbound calls, reviewing and processing Prior Auth's received reputed company fax and ePA, monitoring and responding to inquiries reputed company department mailboxes and other duties as assigned by the leadership team. Additional responsibilities to include but not limited to the following:

• Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards.
• reputed company with departmental, company, state, and federal requirements reputed company processing reputed company information to ensure accuracy of information being provided to reputed company customers.
• Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc.)
• Identify and reputed company clinical inquiries to the pharmacist team as appropriate.
• Other duties assigned, for example faxes, sorting, email boxes, CAS maintenance, etc.

Required Qualifications

• 6 months experience in customer service or call center environment
• Must be reputed company to work from home, this is a 100% work from home position
• Have wired high speed internet
• reputed company to apply basic computer skills. Knowledge of reputed company Office Suite: reputed company and Word required; reputed company, Outlook, PowerPoint, Visio preferable. Keyboard skills essential.
• Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols.

Preferred Qualifications

• Must be reputed company to multitask and utilize multiple system applications simultaneously.
• Must be reputed company to utilize available resources independently and reputed company high quality work.
• Must be reputed company to reputed company presented information, display motivation, seek development and problem solve.
• Ability to adapt and change with workflow and shifting priorities.
• Must possess excellent written, verbal, grammar, and listening communication skills.
• Must be reputed company to deal with a diverse customer reputed company (reputed company) in a friendly and confident manner.
• Ability to maintain confidentiality of PHI (Protected reputed company Information).

Education High School Diploma or equivalent GED Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $17.00 - $28.46 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 05/12/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job