Pharmacy Technician

Infusion4Health Inc • Riverside, CA

5h • Onsite

About The Position

Infusion for Health is a premier, referral-based infusion center serving patients across California, Arizona, Nevada, Washington, Colorado, and Missouri. Our unique centers feature private, comfortable rooms for a personalized patient experience. We are committed to delivering exceptional infusion therapy in a patient-focused, compassionate environment, supported by a team of skilled professionals. The Pharmacy Technician plays a critical role in securing timely insurance approvals for specialty and infusion medications. This position ensures that all required documentation is obtained and submitted to payers to facilitate patient access to therapy. The ideal candidate will have experience working in a specialty or infusion pharmacy and a strong understanding of insurance verification and the prior authorization process for high-cost medications.

Requirements

• At least 2 years of experience in infusion or pharmacy prior authorization is required.
• At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines.
• Ability to effectively handle multiple priorities within a changing environment, emphasizing paperless workflow.
• Experience in diagnosing, isolating, and resolving complex issues and recommending and implementing strategies to resolve problems.
• Organizational skills are sufficient to maintain consistently accurate records.
• Intermediate level skills in Microsoft Excel & Word.
• Computer skills that include proficiency with spreadsheets and use of the internet, as well as word processing, and efficient use of the internet and e-mail.
• Current knowledge of all applicable state and federal pharmacy laws, rules, and regulations

Nice To Haves

• Certification as a Pharmacy Technician (preferred) and/or hold an active Pharmacy Technician license.

Responsibilities

• Review new infusion referrals and coordinate benefits investigation for commercial and government payers.
• Obtain and submit all necessary clinical documentation and forms to insurance companies for prior authorization requests.
• Proactively follow up with payers, providers, and internal teams to resolve any delays in the authorization process.
• Communicate approval or denial outcomes to patients, prescribers, and pharmacy staff.
• Collaborate with clinical and billing teams to escalate issues related to denied or delayed authorizations.
• Document all communication and authorization statuses in pharmacy software or CRM systems.
• Maintain working knowledge of payer-specific policies for infusion therapies, including Medicare, Medicaid, and commercial plans.
• Monitor and track prior authorization expirations and initiate reauthorization processes as needed.
• Provide exceptional customer service while managing high call and task volumes.
• Stay up-to-date on regulatory and payer changes impacting the prior authorization process.

Benefits

• Competitive hourly pay between $22-$26, with variations based on experience and expertise.
• 401(k)
• Dental insurance
• Health insurance
• Be a part of a pioneering company in the healthcare industry that is making a significant impact on patients' lives.
• Work with a supportive and collaborative team that values your expertise and contributions.
• Enjoy a dynamic and flexible work environment with opportunities for professional growth and development.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 11-50 employees