Prior Authorization Pharmacy Technician (Remote)

Job Title: Remote Pharmacy Technician
Job Description
As a Pharmacy Technician, you will play a crucial role in reviewing Prior Authorizations for coverage determination within a Pharmacy Services department at a large healthcare insurance company. Your responsibilities include approving or denying requests and forwarding them to a Pharmacist for final review. The role involves handling all health plans and various types of medications with minimal phone work, primarily outbound calls.
Responsibilities

+ Track coverage determination requests and obtain verbal authorizations.

+ Approve requests based on established criteria.

+ Enter decisions into the Pharmacy Benefit Management (PBM) system.

+ Notify providers and members of decision outcomes.

+ Respond to client inquiries and refer requests for specialty drugs.

+ Contact providers for additional information.

+ Notify stakeholders of decision outcomes.

+ A...

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