Pharmacy Technician

Actalent • Charlotte, NC

46d • $18 - $20 • Remote

About The Position

We are seeking a dedicated Pharmacy Technician to join our team, specializing in working with Medicare and Medicaid patients, primarily focusing on Medicare. The role involves managing prior authorizations, with a focus on intake and tech review processes. This is a fully remote position, providing flexibility and the opportunity to contribute to patient care from the comfort of your home.

Requirements

• Experience in data entry and pharmacy operations.
• Pharmacy Technician Certification.
• Experience with managed care and claims processing.
• Prior Authorization expertise.
• Strong customer service skills.
• Proficiency in computer skills and the ability to work remotely and independently.

Nice To Haves

• Managed care experience.
• Pharmacy experience.
• Ability to handle customer service calls effectively, including controlling and redirecting conversations as needed.
• Cpht certification.

Responsibilities

• Manage the intake of prior authorizations and set up PAs in the system.
• Send cases to the review tech after initial setup.
• Conduct tech reviews by evaluating PA cases received from the intake team.
• Read and analyze criteria, SOPs, insurance documents, and medical documents to determine eligibility.
• Make clinical determinations regarding medication approval, denial, or coverage.

Benefits

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Administrative and Support Services
• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees