Work Mode: Fully Remote Duration: 6 months, possible contract-to-hire SHIFT: Schedule during training period (12-24 weeks): Monday-Friday: 10am – 6:30pm EST. Schedule after training period: Tuesday-Friday 12:30pm - 9pm EST, Saturday 8am – 4:30pm EST. Overtime is not expected.
Responsibilities:
Train on Intake and Technician Review processes.
Enter information from prior authorization request forms into a Compass case.
Verify intake accuracy and compare with clinical documentation.
Determine approval eligibility based on provided information.
Contact offices for missing information if necessary.
Route denials to the pharmacist queue for double-checking.
Remediate cases if determinations need overturning or errors correcting.
Communicate decisions to providers and/or members via call or fax.
Maintain strong team connectivity and support via Teams and Outlook.
Requirements:
High School diploma or GED required.
1 year of Pharmacy Technician experience.
Strong computer skills.
Flexibility with changes.
Ability to meet production metrics.
Preferred Skills:
Customer Service/retail experience.
Valid Pharmacy Technician License.
Benefits:
No mandatory overtime post-training.
Remote-first flexibility with structured support.
Exposure to multiple lines of business (Medicaid, Medicare, Ambetter, Commercial).
Specialized focus on Part B injectable medications.
Structured training program with hands-on learning.
National scope: Support members and providers across the U.S.
Opportunity to contribute to health equity and access to care on a national scale.
Numbers & Facts
Location
Various, FL (Remote)
Salary
$24 Per Hour
Skills
Computer Skillsunmatched
Consultingunmatched
Customer Support/Serviceunmatched
High School Diplomaunmatched
Medicaidunmatched
Medicareunmatched
Medicationsunmatched
Metricsunmatched
Microsoft Outlookunmatched
Pharmacyunmatched
Retailunmatched
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