Pharmacy Tech, Prior Auth CPhT or PTCB (Remote)

Responsibilities: Review prior authorization requests for medications to determine medical necessity and assist with pharmacy claims. Support pharmacy strategy to optimize healthcare outcomes and coordinate with providers and members to resolve prescription issues.

Requirements: Requires at least 2 years of pharmacy technician experience and a CPhT certification or state license. Candidates must be proficient in Microsoft Office and capable of navigating multiple computer systems simultaneously.

Key skills: Prior Authorization, Pharmacy Claims, Managed Care, Medical Necessity Review, HIPAA Compliance, Microsoft Excel, Written Communication, Verbal Communication, Pharmacy Benefit Management, Retail Pharmacy Experience

Keywords: Pharmacy Technician, CPhT, PTCB, Prior Authorization, Pharmacy Claims, PBM, Managed Care, Medicaid, Medicare, MCO, HIPAA, Microsoft Office, Retail Pharmacy, Medical Necessity, Pharmacy Benefit Management