Job Description

Required Skills & Experience

We are seeking experienced, state registered pharmacy technicians. If the candidate lives in a state that does not require registration (i.e. Delaware, Hawaii, New York), candidate agrees to obtain a state license withing 6 months of employment and must be nationally certified (PTCB or NHA) at time of hire. In all other cases, PTCB or NHA is highly preferred but not required (must be obtained within 9 months of employment). Should additional licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements.\n\nYears of Experience: Required 1+ years as a Pharmacy Technician\n\nEducation: High school diploma or GED required

Nice to Have Skills & Experience

Good time management skills\nStrong collaborator and team player\nOrganized problem solver\nPTCB

Job Description

Insight Global is looking for Prior Authorization Technicians to work fully remote in support of one of our large healthcare clients. In this role, the individual will support patient care by removing barriers to medication access. This includes working with insurance companies and clinician offices to facilitate medication approvals through prior authorizations, as well as collaborating with patients and various funding sources, such as foundations or pharmaceutical manufacturers, to obtain financial assistance for high-cost copays. The role also involves providing phone support to patients, navigating pharmacy dispensing systems to adjudicate claims, process refills, and promoting medication adherence.\n\nJob Duties:\n\n· Communicate directly with insurance companies to facilitate medication approvals.\n\n· Navigate pharmacy operating systems to input data, adjudicate test claims, and develop action plans for follow-up.\n\n· Communicate effectively across databases, electronic medical records, and email systems to document patient concerns, prior authorization status, and financial assistance needs.\n\n· Review prescriptions with physicians’ offices to ensure optimal patient care.\n\n· Maintain complete and accurate records of patient communications.\n\n· Assist patients with managing their pharmacy insurance claims.\n\n· Collaborate closely with pharmacists and pharmacy liaisons to deliver a coordinated, high-quality patient care experience.\n\n· Communicate directly with patients via phone to support medication adherence and compliance.\n\n· Research and analyze information to support strategic decision-making.\n\n· Manage, organize, and update relevant data within database systems.\n\n· Apply observations and recommendations to improve operations, productivity, quality, and customer service standards.\n\n· Identify trends, resolve issues, recommend improvements, and implement changes.\n\n· Participate actively in process improvement initiatives.\n\n· Act as a value-added business partner to stakeholders across the organization.\n\n· Protect organizational value by maintaining confidentiality of information.\n\n· Maintain professional knowledge by participating in educational opportunities, reading professional publications, and engaging in professional networks and organizations.\n\n· Minimal in-state or out-of-state travel may be required.\n\n· Perform other duties as assigned.\n \nHourly Pay Range: $20/hr-$22/hr based on experience.

Job Tags

Remote work

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