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Prior Authorization Pharmacy Technician

Remote:

Full Remote

Contract:

Full time

Experience:

Mid-level (2-5 years)

Work from:

Texas (USA), United States

Offer summary

Qualifications:

1+ years of prior PA experience, 2 years minimum as a Pharmacy Technician, Knowledge of pharmacy law and medical terminology, Outstanding organization skills, Proficient with MS Office applications.

Key responsabilities:

Monitor queues and receive incoming PA requests
Document approvals, denials, and clinical questions
Determine eligibility and screen prior authorization requests
Prepare and organize requests for pharmacist/physician review
Ensure timely task completion and accurate drug information

Curative Scaleup https://curative.com/

201 - 500 Employees

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Job description

Summary

A Prior Authorization (PA) pharmacy technician is responsible for supporting the PA pharmacist team and

assures the PA pharmacists has all of the necessary information and resources needed to perform a clinical review.

The PA technician duties includes receiving incoming PA’s, monitoring the queue’s, faxing final approvals and

denials to prescribers and or members. This is a fast-paced dynamic environment.

This is a remote position, Monday-Friday and may include some Saturday’s.

Essential Duties And Responsibilities

 Take in-coming calls from members and providers, providing professional phone assistance to all callers

through the criteria based prior authorization process

 Must maintain complete, timely, and accurate documentation of all approvals and denials, and transfers

all clinical questions and judgment calls to the pharmacist

 Determining eligibility and screening incoming pharmacy prior authorization requests for all required

documents

 Preparing, organizing, and distributing pharmacy prior authorization requests for review by

pharmacist/physician and responding to pharmacist/physician requests for additional information

 Collecting relevant medical information (via telephone, fax, and portal) and applying the appropriate PA

criteria

 Enters application information, prior authorizations and other relevant data

 Generates reports and other information requested on a scheduled/as needed basis

 Ensure TAT are met for Standard and Expedited requests and are prioritized appropriately

 Ensure drug information is accurate i.e., brand vs. generics

 Meet appropriate metrics per day

 Work with other interdepartmental team such as Medical and pharmacy team

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The

requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable

accommodations may be made to enable individuals with disabilities to perform the essential functions:

1+ years of prior PA experience
2 years minimum experience as a Pharmacy Technician
Knowledge of pharmacy law and medical terminology (SIG codes, brand, generic names of

medications)

Outstanding organization skills and keen eye for detail
Ability to work in a dynamic and fast-paced environment
Proficient with MS Office applications- Word, Power Point, Excel, and Access
Strong ability to use and learn new technology tools
Capable of working independently with minimal supervision and also as part of a team
Current licensure in applicable state in good standing condition

EDUCATION And/or EXPERIENCE

❑ High School or College education a plus

CERTIFICATES, LICENSES, REGISTRATIONS