Remote Prior Authorization Pharmacy Technician

Confidential

📍 Chicago, Illinois, United States

Contractor Other-General

Job Description

Job Title: Pharmacy Technician
Job Description

As a Pharmacy Technician, you will be responsible for reviewing prior authorizations and determining their approval or denial for a Pharmacy Services department within a large healthcare insurance company. You will handle all health plans and types of medications, ensuring accurate processing and communication with pharmacists for final review.

Responsibilities

  • Process prescription exceptions, including resolving claim rejects and conducting member and physician outreach.
  • Enter member demographics and prescription information into the data processing system.
  • Research and resolve rejected insurance billing issues and escalated member issues.
  • Escalate questions regarding prescriptions to a pharmacist for interpretation or guidance.
  • Assist with inbound and outbound patient or physician calls.
  • Essential Skills
  • High School diploma or GED.
  • Current Pharm...
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