Pharmacy Tech I – Prior Authorization - Fully Remote

Position- Pharmacy Tech I – Prior Authorization Location- Fully Remote Contract- 06 months contract with higher extension possibilities Shift- Monday to Friday 11am - 11pm CST; SHIFT DETERMINED BASED ON NEED. Start Date for this project is 05/18/2026 Prefer candidates from the west coast of US - much work late shift; hours are Mon-Fri 11a-11p (8.5 hr. shift with 30 min lunch) CST; Training M-F for approx. 5 weeks, time TBD. Position Summary·        The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc., providing professional and courteous phone assistance to all callers through the criteria-based prior authorization process.·        Maintains complete, timely, and accurate documentation of reviews.·        Transfers all clinical questions, escalations, and judgment calls to the pharmacist team.·        The Tech I will also assist with other duties as needed, including but not limited to:·        Outbound calls·        Reviewing and processing Prior Authorizations received via fax and ePA·        Monitoring and responding to inquiries via department mailboxes·        Other duties as assigned by the leadership team Key Responsibilities / Duties·        Take incoming calls from members, providers, pharmacies, etc.·        Provide professional and courteous phone assistance to all callers.·        Support the criteria-based prior authorization process.·        Maintain complete, timely, and accurate documentation of: Reviews, Approvals and Denials.·        Transfer all clinical questions and judgment calls to the pharmacist.·        Assist with outbound calls as needed.·        Review and process Prior Authorizations received via fax and ePA.·        Monitor and respond to department mailboxes.·        Perform additional duties as assigned by leadership. Experience Requirements·        Minimum 2 years of experience in a high-volume call center (healthcare or PBM/prior authorization-related preferred).·        Minimum 1 year of experience as a pharmacy technician coordinating activities in an administrative support function.·        Minimum 2 years of customer service experience in a high-volume environment; preferably in: Healthcare, Social services or Similar service positions Education Requirements·        Verifiable High School Diploma or GED is required. Licenses / Certifications·        Pharmacy Technician license (active and no restrictions).·        National pharmacy technician certification or certification/licensure per state regulations. Skills & Qualifications·        Familiarity with medical terminology and coding.·        Advanced computer skills including:·        Word processing·        Spreadsheet utilization·        Excellent customer service skills (written and verbal).