Pharmacy Technician/PTCB/Pharm Tech/
Job Title: Pharmacy Technician
Job Description
We are looking for adedicated Pharmacy Technicianto join ourAppeals Department. This role involves working primarily withMedicare cases, as well as someMedicaid patients. Your main responsibility will be to manage denied prior authorization requests by reviewing submitted documentation, requesting additional information when needed, and forwarding cases to pharmacists for final review and determination.
Responsibilities
- Process and manage denied prior authorization requests for Medicare and Medicaid patients.
- Make 30–60 outbound calls per shift to Medicare members, primarily elderly individuals, regarding denied medication requests.
- Review submitted documentation and gather additional information to support the appeals process.
- Forward completed cases to pharmacists for final determination.
- Deliver exceptional customer service and handle member calls with professionalism and empathy.
Essential Skills
- Certified Pharmacy Technician (CPhT).
- Experience in pharmacy operations, appeals, managed care, claims processing, and handling denials.
- Strong data entry and customer service capabilities.
- Proficient in computer systems and applications.
- Ability to work independently in a remote environment.
Additional Skills & Qualifications
- National Pharmacy Technician Certification (CPhT) preferred; required for certain supervisory roles.
- Prior experience with processing prior authorizations.
- Excellent verbal communication and phone etiquette.
- Skilled in managing and redirecting conversations effectively.
Work Environment
This is a fully remote positionthat requires working in aprivate, distraction-free environmentto ensure compliance withHIPAA regulations. Astrong and reliable Wi-Fi connectionis essential. The standard work schedule isMonday through Friday, from 10:00 AM to 6:30 PMin your local time zone. Candidates must also be comfortable withrotating weekend and holiday shifts. Training is conducted Monday through Friday, from 10:00 AM to 6:30 PM EST. All necessary equipment—including a computer, monitor, and headset—will be provided. Job Type & Location This position is fully remote Pay and Benefits The pay range for this position is $18.00 - $20.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits Available For This Temporary Role May Include The Following
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Aug 31, 2025. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email [email protected] for other accommodation options. Apply tot his job Apply To this Job