Remote Prior-Auth Pharm Tech

Remote Prior-Auth Pharm Tech

HealthCare Support is actively seeking a Remote Prior-Auth Pharm Tech to fill an opening with the one of the leading Managed Care Company in the US.

Daily Responsibilities for Remote Prior-Auth Pharm Tech:
• This is a high-volume inbound call position responsible for providing professional and courteous assistance to members, providers, and other callers
• The role centers on supporting the criteria-based prior authorization process by reviewing clinical information and ensuring accurate documentation of all determinations
• Handle incoming calls from members, providers, and other healthcare professionals
• Deliver exceptional customer service while guiding callers through the prior authorization process
• Review clinical documentation to determine completeness and eligibility based on established criteria
• Accurately document all approvals and denials in a timely manner.
• Escalate clinical judgment calls and complex inquiries to the pharmacist for further evaluation
• Maintain compliance with regulatory requirements and internal protocols

Required Qualifications for Remote Prior-Auth Pharm Tech:
• Minimum of 1 year in healthcare as a pharmacy technician (or comparable related role), and high call center type of environment (preferably in the medical field)
• National Pharmacy Certificate or State License is Preferred
• Strong computer skills, including proficiency in word processing and spreadsheet applications
• Excellent verbal and written communication skills
• Verifiable High School diploma or GED is required
• Can work on 12/01/2025-01/20/2026 8:00 AM – 4:30 PM CST Monday to Friday for the training
Holidays during training (No Training on these dates): 12/25/2025 & 01/01/2026
Working shifts: 8-hour shift with 2 15 min breaks and a 30-minute lunch; Hours of operation are 8am – 11pm CST; shifts will be determined after training based on business needs

Preferred Qualifications for Remote Prior-Auth Pharm Tech:
• Prior-authorization experience

Benefits for Remote Prior-Auth Pharm Tech:
• Immediate enrollment in Health Insurance
• Dental Insurance
• Life Insurance
• Employee Assistance Program (EAP)
• Access to Investment Accounts
• Career and educational tools within our Ingenovis ACT (Advocacy) Program

Pay Details: $20.00 – $21.00 an hour

Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.

For additional consideration, please email a copy of your resume to [email protected] with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.