Central Prior Authorization Pharmacy Tech.- Remote Position

Central Prior Authorization Pharmacy Technician

The Central Prior Authorization Pharmacy Technician will serve as the primary coordinator for specialty medication prior authorizations (PAs), ensuring timely processing and approval of specialty drug therapies. This role will work closely with prescribers, patients, insurance providers, specialty pharmacies and internal pharmacy teams to facilitate medication access, obtain required documentation, track authorization statuses, and support reimbursement process. This position requires strong organizational skills, attention to detail and knowledge of specialty pharmacy and insurance workflows.

This position can be remote, home-based position requiring reliable internet access and a private workspace for confidential patient interactions. Must adhere to all company policies, procedures, confidentiality standards and security protocols applicable to remote employees.

Duties and Responsibilities include the following; other duties may be assigned:

1. Manager and process prior authorization requests for specialty medications.
2. Communicate with provider offices, patients, payers and specialty pharmacies to obtain clinical documentation and authorization approvals.
3. Submit, monitor and track PA requests through payer portals, fax, phone and electronic systems.
4. Follow up on pending PAs, appeals, renewals, and denials to ensure timely patient access.
5. Verify patient insurance coverage, benefits, and specialty pharmacy requirements.
6. Input all necessary data into the pharmacy management system to track and maintain up-to-date project information.
7. Receive, analyze, gather, and organize data from multiple sources.
8. Accurately enter required data into one or more databases, documents, or spreadsheets.
9. Work closely with different functional departments including but not limited to pharmacy operations, sales, and data team.
10. Support all existing data projects.
11. Use pharmacy system to obtain patient and drug information and process prescriptions.
12. Manage prescription refills for integrated offices.
13. Apply manufacturer copay cards if applicable.