Remote Pharmacy Technician - Prior Authorizations Specialist

## 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

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