Pharmacy Technician Prior Authorization Specialist - Infusion Services

Schedule | Hours

Full-time, 40 hours per week. Days, Monday-Friday.

Position Summary

The Prior Authorization Technician supports medication access by coordinating prior authorization (PA) requests, benefit investigations, and MSOT workflows within the Epic electronic health record. This role provides high-quality support to providers, office staff, and patients across multiple ambulatory clinics. The technician manages complex insurance requirements and serves as the primary point of contact for PA-related needs.

What you'll do

• Prior authorization coordination: Review payer requirements, gather necessary clinical information, submit complete PA requests through payer portals, fax, or phone, and coordinate appeal submissions when necessary.
• MSOT workflow management: Process Multi-Step Order Transmittal tasks, ensure accurate internal routing, resolve workflow barriers, and communicate order status to clinic teams.
• Provider and office staff support: Respond to PA-related questions from prescribers and clinic staff. Request additional documentation when needed. Communicate approvals, denials, and alternative therapy requirements.
• Patient communication: Provide updates on PA status, expected timelines, and next steps; assist with understanding insurance requirements.
• Insurance benefit investigation: Verify coverage, copays, step therapy rules, and formulary alternatives.
• Documentation in Epic: Maintain accurate, timely notes in Epic, including PA status, payer communication, and MSOT task completion.
• Navigate denials, identify alternative pathways, and escalate only when clinical review is required.
• Ensure PA and MSOT tasks are completed efficiently and routed appropriately to support clinic operations.
• Prioritize and manage multiple concurrent PA and MSOT requests while meeting established turnaround time expectations.

What you'll need

• High school education or equivalent.
• Licensed as a Pharmacy Technician or Pharmacist Intern in the State of Michigan.
• 1 year Pharmacy Tech Work experience.
• Understanding of commercial, Medicare, and Medicaid insurance plans.
• Familiarity with medical terminology, diagnosis codes, and PA criteria.
• Preferred: Proficiency with Epic and payer portals.
• Preferred: Experience with prior authorizations, insurance billing, or ambulatory pharmacy workflows.
• Preferred: Completion of a formal Pharmacy Technician training program; or two years of college with emphasis in math, science, or medical field applications.
• Preferred: Active status as a Certified Pharmacy Technician (CPhT) by the Pharmacy Technician Certification Board (PTCB).