Pharmacy Technician – Outpatient - PTO26-06089

NavitasPartners • Portland, OR

12h • Onsite

About The Position

This is a contract position for a Pharmacy Technician in an outpatient setting, focusing on Managed Care and Prior Authorization. The role involves processing prior authorizations, reviewing claims, handling member inquiries, and ensuring compliance with regulations. Navitas Healthcare, LLC is a WBENC certified and fast-growing healthcare staffing firm.

Requirements

• Oregon Pharmacy Technician License required
• Advanced Microsoft Excel skills required (mandatory)
• Minimum 2 years of pharmacy technician experience OR Bachelor’s degree
• Knowledge of ICD-10, CPT coding, and medical terminology
• Strong communication, analytical, and problem-solving skills
• Ability to handle high-volume workload independently
• Knowledge of pharmacy laws, insurance regulations, and HIPAA

Nice To Haves

• Experience in managed care / prior authorization preferred

Responsibilities

• Process pharmacy prior authorizations based on clinical guidelines
• Review and validate pharmacy claims, eligibility, and benefit data
• Handle inbound calls and route requests to clinical teams as needed
• Perform data entry for authorizations, referrals, and medication records
• Apply ICD-10 and CPT coding for case tracking and documentation
• Communicate with providers, pharmacies, and members regarding cases
• Audit claims and documentation for accuracy and compliance
• Support pharmacy benefit operations and regulatory requirements
• Prepare reports and assist with quality improvement activities
• Maintain confidentiality and ensure compliance with HIPAA standards

Benefits

• Competitive pay
• Salary discussed upfront

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level