Remote Pharmacy Technician - Prior Authorizations Specialist

This a Full Remote job, the offer is available from: United States, Indiana (USA) ## Remote Opportunity for Pharmacy Technicians... ### Job Overview A remote opportunity is available for Pharmacy Technicians with a focus on Indiana Medicaid Rx. This position offers a competitive starting rate of $16.00 per hour, along with full benefits, paid holidays, and paid time off (PTO) starting from day one. Please note, this opportunity is exclusively for residents of Indiana. ### About the Company This employer is a proud woman-owned business recognized among the Best Places to Work in Indiana. The organization values diversity, equity, and inclusion and is committed to being an equal opportunity employer. ### Responsibilities • Provide exceptional customer service to Indiana Medicaid members and healthcare providers regarding pharmacy coverage and claims processing. • Handle inbound calls related to pharmacy location inquiries, coverage questions, and medication pricing. • Review and process requests for prescription prior authorization and appeals. • Scan, index, and prepare documents for prior authorization and appeals, ensuring accurate patient/member profile information. • Collect and compile medical documentation from patients and providers to support authorization requests. • Evaluate requests using established decision trees and protocols, reaching out for additional information when necessary. • Update claims systems with approved requests and promptly notify patients and providers. • Communicate any denials clearly and work to forward requests for further review when required. ### Qualifications • High school diploma or equivalent. • 1-2 years of pharmacy experience in settings such as retail, long-term care, or hospitals. • A valid Indiana Pharmacy Technician license. • National CPhT certification or the ability to obtain it within six months of hire. • Proficient with computers, data entry, and Microsoft Office Suite. • Strong organizational and time management skills to handle multiple priorities effectively. • Excellent customer service orientation and a positive attitude. • Strong interpersonal and communication skills. • Ability to pass E-Verify, a criminal background check, and a pre-employment drug screening. • Willingness to work overtime as needed to achieve department goals. ### Preferred Qualifications • Experience with Medicaid or government healthcare programs. • Previous remote working experience. • Call center experience. • Inbound/outbound call experience in a pharmacy setting. If you are detail-oriented, motivated, and enthusiastic about supporting the Medicaid community, we encourage you to explore this opportunity! Employment Type: Full-Time This offer from "Get It Recruit - Healthcare" has been enriched by Jobgether.com and got a 75% flex score Apply Job!