Pharmacy Tech I - Prior Authorization

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 judgement calls to the pharmacist team.
The Tech I will also assist with other duties as needed to include but not limited to:  outbound calls, reviewing and processing Prior Auths received via fax and ePA, monitoring and responding to inquiries via department mailboxes and other duties as assigned by the leadership team.

Responsibilities
% Time  Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards.
40%
Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.
40%
Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc).
10%
Identify and elevate clinical inquiries to the pharmacist team as appropriate.
5%
Other duties assigned, for example faxes, sorting, email boxes, CAS maintenance, etc.
5%

Required Qualifications
Able to apply basic computer skills.  Knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable.  Keyboard skills essential.
Must be able to multitask and utilize multiple system applications simultaneously. 
Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols.
Must be able to utilize available resources independently and provide high quality work. 
Must be able to absorb presented information, display motivation, seek development and problem solve.
Ability to adapt and change with workflow and shifting priorities.
Must possess excellent written, verbal, grammar, and listening communication skills.
Must be able to deal with a diverse customer base (internal and external) in a friendly and confident manner.
Ability to maintain confidentiality of PHI (Protected Healthcare Information).
1. Regular and predictable attendance (Do not delete keep for all jobs)
2. Colleague will be required to work mandatory overtime/extended work week when needed (Do not delete keep for all jobs)
3. Colleague will be required to travel when needed (Do not delete keep for all jobs)
4.  Effectively manage work volume by handling inbound calls/fax requests utilizing appropriate courteous and professional behavior based upon established standards.
5.  Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.
1.  Long periods of sitting (up to 100%)
2.  Talking on the phone for extended periods of time (90-100%)
3.  Reading a computer screen for extended periods of time (100%)
4.  Light lifting of less than 10 lbs (5%)

Preferred Qualifications
P | 0 to 3 years experience

Education
R | H.S or Equivalent
P | Associate Degree or Bachelors Degree:  If neither degree held, then equivalent years of work experience.
P | Other Certificates or Licenses (List): Active pharmacy technician license per state requirements, or active national certification. Trainee license in states where applicable.

Intake Call Notes:
Job Title: Tech I Prior Authorization / Pharmacy Technician
Start Date: 11/08/2026
Last Offer Extended: 10/11/2026
Last Candidate Acceptance: 10/14/2026
MUST clear prior to: 10/29/2026
Work Arrangement: 100% Remote (Work From Home)
Travel: No travel required for this position
Education Required: Verifiable High School Diploma or GED
License Requirement: Pharmacy License Preferred, Not Required
Schedule:
Training: Monday-Friday, 8:00 AM - 4:30 PM CST
Production: Monday-Friday, 10:00 AM - 7:30 PM CST

Safety sensitive role
Require candidates to answer the following at the top of their resume:
Do you have pharmacy, PBM, prior authorization, or healthcare experience Please summarize.
How many years of call center experience do you have
Have you worked in a high-volume inbound or outbound calling environment Please explain.
Do you have experience communicating with physician offices, pharmacies, providers, or healthcare professionals
Do you possess an active Pharmacy Technician License or Certification If yes, please specify state and status.
What systems or applications have you used for healthcare, pharmacy, customer service, or case management work
Are you comfortable working Monday-Friday 10:00 AM - 7:30 PM CST after training
Are you able to work mandatory overtime when business needs require
Do you have hardwired internet that meets the minimum requirements and a private workspace with a locking door

Must provide internet speed test on the resume (INCLUDE SCREEN SHOT) - www.speedtest.net

Duties
Required Skills and Qualifications
Strong verbal communication and professional phone etiquette.
Ability to speak confidently with physician office staff and healthcare professionals.
Basic computer proficiency and ability to navigate multiple systems simultaneously.
Strong attention to detail and accurate documentation skills.
Ability to manage repetitive tasks while maintaining quality and focus.
Ability to set up computer, vpn and other application at home
Ability to work independently and as part of a team.

Experience
Preferred Qualifications
Previous experience in a call center, healthcare, pharmacy, or customer service environment.
Familiarity with prescription refill processes and medical office workflows.
Knowledge of HIPAA regulations and patient confidentiality requirements.

Position Summary
The Pharmacy Technician is responsible for placing outbound calls to physician offices to obtain verbal authorization for prescription refill renewals when previous outreach attempts have not received a response. This role supports continuity of patient care by ensuring refill requests are addressed in a timely and compliant manner while maintaining professionalism and accuracy in all communications.

Education
Verifiable High School diploma or GED is required.

What days & hours will the person work in this position List training hours, if different.
Training (Monday-Friday 8am-4:30pm CST) Schedule Hiring for (Monday-Friday 10am-7:30pm CST)