Experienced Pharmacy Technician - Career Growth Opportunities

Key Responsibilities

• Obtain and submit all necessary clinical documentation and forms to insurance companies for prior authorization requests
• Process and fill prescriptions and pack medications for delivery, ensuring accuracy, compliance, and timely shipment
• Review new infusion referrals and coordinate benefits investigations for commercial and government payers
• 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 address issues related to denied or delayed authorizations
• Document all communications and authorization statuses in pharmacy software or CRM systems
• Maintain a 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
• Process, fill, and package prescriptions for delivery while ensuring accuracy and compliance with all regulations
• Provide exceptional customer service while managing a high volume of calls and tasks
• Stay up to date on regulatory and payer changes impacting the prior authorization process

Qualifications

• At least 2 years of experience in infusion or pharmacy prior authorization required
• At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines
• Experience with prescription processing, fulfillment, and packaging for delivery preferred
• Ability to effectively manage multiple priorities in a dynamic, paperless environment
• Proficiency with computer systems, including spreadsheets, word processing, internet research, and email communication
• Active Pharmacy Technician License required
• Current knowledge of all applicable state and federal pharmacy laws, rules, and regulations