Safety Sensitive
Offer: 4/20/26
Clear by: 5/8/26
Start: 5/18/26
Candidate Questionnaire to be included on resume:
This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area away from distractions. Do you have a separate workspace with no interruptions
Do you have any conflicts with the training schedule, or have any time off planned during the assignment duration
Do you have WIRED internet meeting 25mbps min download and 3mbps minimum upload speed
You must be able to sit and focus on work for the duration of shift. Are you able to sit and focus with no interruptions for entire shift
Please provide screenshot of internet speed.
Please provide screenshot of license.
Prefer candidates from the west coast of US - much work late shift; hours are Mon-Fri 11a-11p (8.5 hr shift with 30 min lunch) CST; Training M-F for approx. 5 weeks, time TBD.
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.
Minimum 2 years of experience in a high volume call center - healthcare or PBM/prior authorization-related preferred. (Make sure this is obvious on the candidate\'s resume to ensure proper shortlisting.)
Must have some familiarity with medical terminology and coding.
License or Certification is acceptable
Pharmacy Technician license with no restrictions, must be active
National pharmacy technician certification or certification or licensure per state regulations.
Advanced computer skills including word processing and spreadsheet utilization.
Excellent customer service skills (written and verbal) a must.
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function. National pharmacy technician certification. Eligible for state registration, certification or licensure per state regulations. Advanced computer skills including word processing and spreadsheet utilization. Excellent customer service skills (written and verbal) a must.
Duties
Must ensure the potential new hire understands: They must understand they cannot be the primary caregiver to anyone in their home during scheduled work hours At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function. National pharmacy technician certification. Eligible for state registration, certification or licensure per state regulations. Advanced computer skills including word processing and spreadsheet utilization. Excellent customer service skills (written and verbal) a must.
Experience
Minimum (2) year experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position.
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.
Education
Verifiable High School diploma or GED is required.
Pharmacy Technician license or certification (active and no restrictions)
What days & hours will the person work in this position List training hours, if different.
Monday to Friday 11am - 11pm CST; SHIFT DETERMINED BY BASED ON NEED