Pharmacy Technician-Appeals

Job Description

We are seeking a dedicated Pharmacy Technician to join our Appeals department. In this role, you will work primarily with Medicare patients, handling denied Prior Authorizations. You will review provided information, reach out for additional details if necessary, and then send the case to Pharmacists for a final determination. This position involves making approximately 60 outbound calls per shift to Medicare/elderly members who are often frustrated due to medication denials, mostly for injectable medications administered in a doctor's office.

ResponsibilitiesReview denied Prior Authorizations for Medicare patientsReach out for additional information as neededSend cases to Pharmacists for final determinationMake approximately 60 outbound calls per shift to Medicare/elderly membersHandle calls with frustrated members professionally and empatheticallyControl conversations and redirect as needed
Qualifications

Must have a minimum of High School Diploma or GED

Must hold an active Pharmacy Technician license as required by state of operation

Experience retail pharmacy, hospital, or specialty pharmacy environments

Must be able to type 40 WPM 

 

Shift

Must be open Monday-Friday 10:00 am-6:30 pm in your respective time zone

Must be comfortable working weekends, and holidays. Will be put in a rotation.

Work Environment

This is a 100% remote position. You must work in a closed-door setting with limited distractions and ensure HIPAA compliance. A strong Wi-Fi connection is required.

Pay and Benefits

The pay range for this position is $18.00 - $19.00

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position will be accepting applications until Jan 7, 2025.

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 & Inclusion

At 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 people

The 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.