Schedule:
Training: 06/1508/04/2026 8a4:30pm CST MF (no time off permitted during training)
Schedule Times: This position follows a standard 8.5hour workday
Permanent schedule will be determined based on business needs after training is completed.
Candidates must be ok working CST working hours. Can be located anywhere in the US.
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.
The Tech I Prior Auth takes inbound 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 authorizationrelated 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 incoming 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 2 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
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.
Experience
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.
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.
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.
06/15-08/04/2026 8a-4:30pm CST M-F Schedule Times: This position follows a standard 8.5-hour workday