Pharmacy Technician Senior Representative - CarepathRx - US Remote

Cigna Healthcare • Maryland Work at Home, MD

5d • $20 - $30 • Remote

About The Position

The Pharmacy Technician will support the IVC, Authorization, and Enteral Feed teams within the Specialty Pharmacy and Infusion department at CarepathRx. This role helps facilitate patient access to medications and enteral nutrition services by completing insurance verification, obtaining prior authorizations, coordinating refills and supplies, and serving as a liaison between patients, providers, dietitians, and internal teams. The technician helps ensure timely therapy delivery, resolves coverage barriers, and supports ongoing patient care through proactive communication and coordination.

Requirements

• National pharmacy technician certification is required.
• 2+ years of experience as a Pharmacy Technician.
• Experience with prescription processes, including entry, adjudication, refills, and renewals.
• Ability to remain flexible and adaptable while performing a variety of duties and responsibilities.
• Ability to work independently and manage responsibilities with limited oversight.
• Strong communication skills, including effective email and phone communication.
• Open availability for emergency assistance, as needed.
• Excellent interpersonal skills and the ability to collaborate with patients, providers, pharmacists, and healthcare team members.
• Proficiency with office technology tools, including Microsoft Office, internet applications, and email.

Nice To Haves

• Experience with Google G-Suite is preferred.

Responsibilities

• Verify patient insurance eligibility and confirm that medications and therapies are covered and payable.
• Research and resolve claim rejections, coverage issues, and billing discrepancies.
• Obtain and manage new and renewal prior authorizations, including medical and pharmacy authorizations for knee injections and Botox therapies.
• Process Specialty Financial Responsibility Letters (FRLs) and monitor test claims.
• Notify patients and providers when medications cannot be dispensed due to denied authorizations, missing information, therapy changes, or other barriers, and coordinate appropriate next steps.
• Cancel orders when coverage issues cannot be resolved after all available options have been exhausted.
• Process enteral nutrition refill requests and verify active prescriptions and insurance coverage before fulfillment.
• Contact patients to clarify refill needs, address concerns, and identify any therapy-related issues.
• Collaborate with dietitians to manage backorders, formula substitutions, patient-reported side effects, and therapy concerns.
• Coordinate shipment of enteral supplies through McKesson or SPI facilities.
• Conduct proactive refill outreach before refill due dates to support continuity of care.
• Schedule pump pickups and coordinate the return of Chartwell equipment when therapy is complete.

Benefits

• Comprehensive health coverage from day one, including medical, dental, and vision coverage.
• Competitive holiday, paid time off, and overtime compensation.
• Tuition reimbursement.
• Robust 401(k) plan with company match.
• Well-being and behavioral health programs.
• Company paid life insurance.
• Minimum of 18 days of paid time off per year.
• Paid holidays.
• Leaves of absence.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed