Pharmacy Technician/Prior Authorization Coordinator

Oklahoma Arthritis Center•Edmond, OK

About The Position

Oklahoma Arthritis Center (OAC) is an Equal Employment Opportunity employer and considers all applicants without regard to race, religion, color, sex, national origin, age, disability, veteran status, or any other legally protected status. Job Summary: The Pharmacy Technician / Prior Authorization Coordinator is a dual-role position responsible for supporting pharmacy operations while coordinating prior authorizations and financial processes for prescription medications. This role works within APS Pharmacy and collaborates closely with the Financial Coordinator team to ensure timely medication access, insurance approval, and patient support. This individual plays a critical role in bridging clinical pharmacy services and financial coordination by assisting with prescription processing, insurance verification, prior authorizations, and patient communication to improve medication adherence and outcomes. Essential Functions: Pharmacy Operations: Accurately prepare and process prescription and refill orders for pharmacist verification, including counting, labeling, and packaging medications. Enter patient and prescription information into pharmacy systems. Process and submit insurance claims and resolve claim rejections. Maintain inventory, including receiving, stocking, and monitoring medications and supplies. Ensure proper storage, security, and cleanliness of pharmacy areas and medications. Assist patients with prescription pick-up, basic questions, and customer service needs. Answer phones and respond to inquiries in a timely and professional manner. Support pharmacist with patient adherence initiatives and medication compliance efforts. Prior Authorization & Financial Coordination: Verify patient eligibility, benefits, and prescription coverage. Submit, track, and follow up on prior authorizations through platforms such as CoverMyMeds. Communicate authorization status, outcomes, and next steps to patients, providers, and staff. Research and interpret payer guidelines, formularies, and step therapy requirements. Identify and resolve barriers preventing patients from obtaining medications. Assist patients with copay assistance programs and financial resources. Reprocess pharmacy claims as needed to ensure successful adjudication. Collaborate closely with Financial Coordinators to ensure continuity of care and medication access. Collaboration & Compliance: Work cross-functionally with providers, pharmacy staff, and financial coordination team. Ensure compliance with HIPAA, state pharmacy regulations, and organizational policies. Maintain accurate and timely documentation in pharmacy systems and EHR. Communicate effectively with internal and external stakeholders to resolve issues. General Responsibilities: Provide excellent customer service to patients and team members. Maintain a clean, organized, and efficient work environment. Demonstrate professionalism, teamwork, and accountability. Assist with additional duties as assigned. Performance Requirements: Knowledge: Pharmacy operations, workflows, and medication processing. Insurance plans including Medicare, Medicaid, and commercial payers. Prior authorization processes, PBM requirements, and claim adjudication. Pharmacy laws and Oklahoma State Pharmacy Board regulations. Drug names, uses, and basic dosing concepts. Skills: Strong communication and customer service skills. Analytical and problem-solving abilities. Attention to detail and accuracy. Proficiency in pharmacy systems, EHR, and Microsoft Office. Abilities: Ability to manage multiple tasks and prioritize effectively in a fast-paced environment. Ability to work independently and collaboratively across teams. Ability to identify and resolve issues efficiently. Qualifications: High school diploma or equivalent required. Current Pharmacy Technician certification and Oklahoma license required. 2+ years of pharmacy technician or related experience preferred. Experience with prior authorizations, insurance billing, or financial coordination preferred. Specialty pharmacy experience preferred. Experience with EHR systems and CoverMyMeds preferred. Physical Requirements: Ability to work effectively in a fast-paced environment. Physical ability to sit, perform data entry and view computer screen for long periods at a time. Daily standing, walking, bending, and maneuvering. May require lifting up to 50 pounds or more to transfer and/or turn patient with and without assistive devices. Environmental Conditions: Occasional exposure to communicable diseases and biohazards. This is a safety sensitive position. Travel: Travel may be required. Scheduled Working Hours: Normal work hours are 8:00 a.m. to 5:00 p.m., Monday through Thursday and 8:00 a.m. to 1:00 p.m. on Fridays. Hours may vary depending upon the needs of the position, department, and clinic. Other Duties: Please note this job description is not designed to cover or to contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change from time to time, with or without notice. Equipment Operated: Standard office equipment including: computers, printers, faxes, copiers, postage machine, etc.

Requirements

High school diploma or equivalent required.
Current Pharmacy Technician certification and Oklahoma license required.
2+ years of pharmacy technician or related experience preferred.
Experience with prior authorizations, insurance billing, or financial coordination preferred.
Pharmacy operations, workflows, and medication processing.
Insurance plans including Medicare, Medicaid, and commercial payers.
Prior authorization processes, PBM requirements, and claim adjudication.
Pharmacy laws and Oklahoma State Pharmacy Board regulations.
Drug names, uses, and basic dosing concepts.
Strong communication and customer service skills.
Analytical and problem-solving abilities.
Attention to detail and accuracy.
Proficiency in pharmacy systems, EHR, and Microsoft Office.
Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.
Ability to work independently and collaboratively across teams.
Ability to identify and resolve issues efficiently.
Ability to work effectively in a fast-paced environment.
Physical ability to sit, perform data entry and view computer screen for long periods at a time.
Daily standing, walking, bending, and maneuvering.
May require lifting up to 50 pounds or more to transfer and/or turn patient with and without assistive devices.

Nice To Haves

Specialty pharmacy experience preferred.
Experience with EHR systems and CoverMyMeds preferred.

Responsibilities

Accurately prepare and process prescription and refill orders for pharmacist verification, including counting, labeling, and packaging medications.
Enter patient and prescription information into pharmacy systems.
Process and submit insurance claims and resolve claim rejections.
Maintain inventory, including receiving, stocking, and monitoring medications and supplies.
Ensure proper storage, security, and cleanliness of pharmacy areas and medications.
Assist patients with prescription pick-up, basic questions, and customer service needs.
Answer phones and respond to inquiries in a timely and professional manner.
Support pharmacist with patient adherence initiatives and medication compliance efforts.
Verify patient eligibility, benefits, and prescription coverage.
Submit, track, and follow up on prior authorizations through platforms such as CoverMyMeds.
Communicate authorization status, outcomes, and next steps to patients, providers, and staff.
Research and interpret payer guidelines, formularies, and step therapy requirements.
Identify and resolve barriers preventing patients from obtaining medications.
Assist patients with copay assistance programs and financial resources.
Reprocess pharmacy claims as needed to ensure successful adjudication.
Collaborate closely with Financial Coordinators to ensure continuity of care and medication access.
Work cross-functionally with providers, pharmacy staff, and financial coordination team.
Ensure compliance with HIPAA, state pharmacy regulations, and organizational policies.
Maintain accurate and timely documentation in pharmacy systems and EHR.
Communicate effectively with internal and external stakeholders to resolve issues.
Provide excellent customer service to patients and team members.
Maintain a clean, organized, and efficient work environment.
Demonstrate professionalism, teamwork, and accountability.
Assist with additional duties as assigned.