Prior Authorization Pharmacy Technician

Location: Remote; Job Location: ['RI']Full-TimeJunior

Salary20 - 22 USD per hour

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Job Details

Have at least 1 year of Pharmacy Technician experience.
Have a high school diploma or GED.
Be Rhode Island state registered and/or certified as a Pharmacy Technician where applicable.
Have CPhT or equivalent national certification; this is strongly preferred but not required generally.
Have national certification at hire if your state of residence does not offer pharmacy technician registration.
Obtain any additional required credentials within a mutually agreed-upon timeframe and maintain required licensure and certification.
Have solid computer skills, including proficiency with Outlook, Teams, Word, Excel, PowerPoint, internet navigation, and web-based platforms.
Be prepared to complete a data-entry and computer-skills assessment as part of the pre-employment process.
Travel occasionally as business needs require.

Communicate with insurance companies to facilitate medication approvals through prior authorizations.
Help patients access financial assistance through foundations, manufacturer programs, and other funding resources.
Use pharmacy operating systems to enter data, adjudicate claims, process refills, and create follow-up action plans.
Document patient concerns, prior authorization updates, and financial assistance needs in databases, electronic medical records, and email systems.
Collaborate with physicians' offices, pharmacists, and pharmacy liaisons to coordinate patient care.
Assist patients with pharmacy insurance claims and coverage-related issues, and provide phone support to help improve medication adherence.
Maintain accurate records of patient communications and case activity while protecting confidential information.
Research and analyze information, manage database data, and identify trends and process improvements.

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