Remote PBM Prior Authorization Pharmacy Technician (Looking for PBM)

🌍 Remote, USA 🚀 Full-time 🕐 Posted Recently

Job Description

Remote Pharmacy Technician I – Prior Authorization (Contract-to-Hire)

Pay Rate: $20/hour
Schedule: Monday–Friday between 11:00 AM – 11:00 PM CST (8.5-hour shift with 30-minute lunch; shift assigned based on business needs)
Start Date: May 18, 2026
Contract Length: 6 months (contract-to-hire)
Work Type: Fully Remote

Position Overview

We are seeking a Pharmacy Technician I – Prior Authorization to support a high-volume, fast-paced environment. This role is responsible for handling inbound calls from providers, pharmacies, and members, assisting with the prior authorization process, and ensuring accurate and timely documentation.

    Key Responsibilities
  • Handle inbound calls and provide professional, courteous assistance
  • Process prior authorization requests using established criteria
  • Document approvals, denials, and all interactions accurately and timely
  • Escalate clinical questions and judgment-based decisions to pharmacists
  • Conduct outbound calls as needed
  • Review and process prior authorizations via fax and electronic systems (ePA)
  • Monitor and respond to department mailboxes
  • Perform additional administrative duties as assigned
    Required Qualifications
  • Minimum 2 years of experience in a high-volume call center (healthcare, PBM, or prior authorization strongly preferred)
  • At least 1 year of pharmacy technician experience in an administrative or support role
  • Active Pharmacy Technician license or certification (no restrictions)
  • Eligible for state registration/licensure as required
  • Familiarity with medical terminology and coding
  • Strong computer skills (word processing, spreadsheets, multitasking systems)
  • Excellent written and verbal communication skills
  • High School Diploma or GED (required)
    Work-from-Home Requirements
  • Dedicated, distraction-free workspace (HIPAA-compliant)
  • Wired internet connection with:
  • * Minimum 25 Mbps download speed
  • Minimum 3 Mbps upload speed
  • Ability to remain seated and focused for the duration of the shift
  • Must not be the primary caregiver during working hours
    Training
  • Monday–Friday training for approximately 5 weeks (schedule TBD)
  • Full attendance during training is required

Candidate Screening Questions

    Please include answers to the following with your application:
  • Do you have a separate, distraction-free workspace suitable for remote work?
  • Do you have any conflicts with the training schedule or planned time off during the assignment?
  • Do you have wired internet that meets minimum speed requirements?
  • Are you able to sit and focus without interruptions for the full shift?
    Additional Requirements:
  • Provide a screenshot of your internet speed (www.speedtest.net)(Need both download and upload)
  • Provide a screenshot of your active license/certification
    Additional Notes
  • Preference for candidates located on the West Coast due to later shift coverage
  • This is a high-volume, customer-facing role requiring strong attention to detail and multitasking ability

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