Pharmacy Technician
Location: Jefferson City, MO (Hybrid and Remote) Job Type: Full-time Pay Rate: $18/hour
The Pharmacy Prior Authorization (PA) Technician is responsible for processing both telephonic and written prior authorization requests for medications submitted by physicians and pharmacies. The technician will utilize healthcare knowledge and an interactive application to evaluate requests, apply clinical guidelines, and assist in determining prior authorization outcomes. This role requires a strong understanding of medication review processes, clinical algorithms, and pharmacy benefit guidelines to support accurate and timely pre-certification decisions.
Key Responsibilities
- Process telephonic and written prior authorization requests for medications.
- Review medication requests submitted by physicians and pharmacies.
- Utilize internal systems and clinical decision-support tools to evaluate authorization requests.
- Apply clinical algorithms and medication review guidelines to determine pre-certification outcomes.
- Communicate effectively with physicians, pharmacists, and healthcare providers regarding authorization requests.
- Ensure accurate documentation while maintaining compliance with company policies and HIPAA regulations.
- Deliver excellent customer service while managing a high-volume workload.
Required Qualifications
- Minimum 3 years of experience in one or more of the following: Pharmacy Services, Healthcare Settings, Utilization Review.
- Previous customer service experience is required.
- Experience working with pharmacists and physicians is required.
- Strong communication, organizational, and analytical skills.
- Ability to work efficiently in a fast-paced healthcare environment.
Preferred Qualifications
- Certified Pharmacy Technician (CPhT)
- Licensed Practical Nurse (LPN)
Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company.
Pharmacy Technician in jefferson city at Unknown Company
This position is listed as full time and able to be worked remotely.