Pharmacy Technician – 100% Remote

About the position

As a Pharmacy Technician in the Appeals department at Actalent, you will play a vital role in supporting Medicare and Medicaid patients, with a primary focus on Medicare cases. Your responsibilities will include processing denied Prior Authorizations by thoroughly reviewing case information, reaching out to gather additional details, and preparing cases for the Pharmacists’ final determination. This position requires you to communicate directly with elderly members, addressing their concerns regarding denied medications, particularly injectables that are administered in a doctor’s office. You will be expected to make outbound calls during your shifts to resolve issues and ensure patient satisfaction, making your role crucial in the healthcare process. This remote position allows you to work independently while being part of a supportive team. You will need to demonstrate strong problem-solving abilities and attention to detail, as these skills are essential for effectively managing the complexities of patient cases. The role is designed for individuals who are comfortable working in a fast-paced environment and can adapt to the needs of the patients and the healthcare system. Your ability to communicate clearly and empathetically will be key in helping patients navigate their medication needs and addressing any issues that arise during the authorization process.

Responsibilities
• Process denied Prior Authorizations by reviewing case information.
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• Reach out for additional details to complete case reviews.
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• Prepare cases for Pharmacists’ final determination.
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• Communicate directly with elderly members regarding denied medications.
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• Make outbound calls per shift to resolve issues and ensure patient satisfaction.

Requirements
• Pharmacy Technician experience
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• Prior authorization knowledge
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• Insurance verification skills
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• Strong customer service skills
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• Computer proficiency
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• Ability to work remotely and independently
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• Strong communication skills
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• Problem-solving abilities
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• Attention to detail

Nice-to-haves

Benefits