Remote Certified Pharmacy Technician

100% Remote Certified Pharmacy TechnicianAs a Certified Pharmacy Technician, you will evaluate and authorize approval of commercial prior authorization pharmacy requests using clinical criteria in a call center environment. Your role involves determining medication appropriateness, communicating decisions to relevant parties, documenting outcomes, and escalating requests for extensive clinical review or denial.ResponsibilitiesEvaluate and authorize commercial prior authorization pharmacy requests from prescribers received by telephone.Determine appropriateness for medications and communicate decisions to physicians, physician office staff, medical management staff, and pharmacists.Document prior authorization outcomes in the pharmacy system.Communicate selected prior authorization criteria, pharmacy benefit coverage, and formulary alternatives.Escalate requests to Pharmacist for extensive clinical review or denial.Document physician or client inquiries and grievances, providing verbal or written results.Work in the fax queue, clinically reviewing coverage determinations for medications.Efficiently multitask and monitor several queues and assignments, adapting to team requirements.Additional Skills & QualificationsPrevious experience in pharmacy benefit, prior authorization, healthcare, or commercial insurance preferred.Customer service, call center, healthcare, pharmacy, or insurance experience is advantageous.This is a Contract position based out of Houston, TX. The pay range for this position is $18.00 - $22.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)