Remote Certified Pharmacy Technician Position Available In Clarke, Georgia

Job Title:

Remote Certified Pharmacy Technician Job Description We are seeking a dedicated Remote Pharmacy Technician to join our team working in the EST time zone. As a Pharmacy Technician, you will be responsible for reviewing Prior Authorizations for coverage determination for a Pharmacy Services department within a large healthcare insurance company. You will make initial approval or denial decisions before passing them to Pharmacists for final review. This role involves handling all health plans and medication types, with minimal phone work, mostly outbound calls if necessary. Responsibilities Track coverage determination requests Obtain verbal authorizations Approve requests based on criteria Enter decisions into the PBM system Notify providers and members of decisions Respond to client inquiries Refer requests for specialty drugs Contact providers for additional information Notify stakeholders of decision outcomes Obtain detailed clinical information from prescribers Assist with inbound and/or outbound patient or physician calls if needed Requirements High School diploma or GED State Registration AND National Certification Basic computer skills Experience with Prior Authorization processes Proficiency in Microsoft Office and Outlook Data entry skills Work Environment This is a professional remote environment where you will work with multiple screens and systems. You must have a strong WiFi connection and a dedicated office space with a closed door. The shift is Monday to Friday, from 8 am to 8 pm (Open for 8-Hour Shifts) in your local time zone, with rotating weekends every 4-6 weeks and some holidays. Training is conducted from 10 am to 6:30 pm EST. The company provides equipment, including a computer, monitor, and headset.