Job Description
We are seeking dedicated Pharmacy Technicians in Florida, Alabama, or South Carolina to join our team. In this role, you will review Prior Authorizations, make determinations, and forward them to a Pharmacist for final review. You will handle all health plans and types of medications. This position is part of a large healthcare insurance company.
ResponsibilitiesProcess prescription exceptions including resolving claim rejects and member and physician outreach.Enter member demographics and prescription information into the data processing system.Research and resolve rejected insurance billing issues and/or escalated member issues.Escalate questions regarding prescriptions to a Pharmacist for interpretation or provide direction on processing.Assist with inbound and/or outbound patient or physician calls.Essential SkillsHigh School diploma or GED.Current Pharmacy Registration and Certification as required by the state of operation.Basic computer skills.Experience with prior authorization and prescription benefits.Proficiency in Microsoft Office, including Outlook.Strong computer skills.Ability to work in a remote environment.Additional Skills & QualificationsNationally Certified Technician.Registered pharmacy technician in the state of residence.Experience in call center, PBM, hospital, or specialty pharmacy settings.Work Environment
This is a remote position requiring a professional home office setup with strong WiFi and a private workspace with a closed door. Equipment, including a computer, monitor, and headset, will be provided. The shift is Monday-Friday from 8 am-8 pm in the time zone of residence, with rotating weekends and some holidays. Training will be from 10 am-6:30 pm EST. There is an opportunity for this position to become permanent, offering long-term career opportunities and benefits.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & InclusionAt Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
Hiring diverse talent Maintaining an inclusive environment through persistent self-reflection Building a culture of care, engagement, and recognition with clear outcomes Ensuring growth opportunities for our peopleThe company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.