Pharmacy Technician - Prior Authorization Job at CVS Health (Work at Home, Hawaii)

Prior Authorization Pharmacy Technician

The Patient Services Specialist I is responsible for initiating, researching, co...

Location

United States

Salary:

43700.00 - 62480.00 USD / Year

Cencora

Expiration Date

Until further notice

Requirements

CPhT required
Florida Pharmacy Technician License preferred
2+ years of directly related or relevant experience
Broad training in fields such as Medical Office Administration, Social Work, Medical Records/Billing, Benefit Verification, Patient Financial Services, Pharmacy, Nursing, or similar vocations generally obtained through completion of a 2-year Associate Degree, technical vocational training, or equivalent combination of experience and education
Bachelor's degree program preferred

Job Responsibility

Initiate, research, complete, submit, and track Patient Services Program applications for assigned facilities
Conduct benefit verification and complete necessary third-party prior authorizations, reimbursement activities, patient assistance, and copay program enrollments
Coordinate refill calls, perform documented adherence activities, and coordinate dispensing for specialty medications, high-cost prescriptions, and/or infusion medications for both the pharmacy and medical benefit
Proactively interact with facility staff, patients, payers, and patient assistance programs (PAP)
May need to adjust work schedule to support customers in different time zones
May need to work on Cencora Holidays
Occasional travel may be required
Perform patient onboarding, benefit verification, prior authorization, financial assistance and appeals processes
Provide services for a health system’s ambulatory pharmacy, specialty pharmacy and/or outpatient infusion center environment
Interact with patients and providers to obtain insurance benefits and patient information needed to request prior authorizations

What we offer

Medical
dental
vision care
comprehensive suite of benefits focusing on physical, emotional, financial, and social aspects of wellness
Support for working families which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave
Training programs
Professional development resources
Opportunities to participate in mentorship programs, employee resource groups, volunteer activities

Fulltime

Prior Authorization Pharmacy Technician

The Patient Services Specialist I is responsible for initiating, researching, co...

Location

United States , Remote

Salary:

43700.00 - 62480.00 USD / Year

Cencora

Expiration Date

Until further notice

Requirements

Broad training in fields such as Medical Office Administration, Social Work, Medical Records/Billing, Benefit Verification, Patient Financial Services, Pharmacy, Nursing, or similar vocations generally obtained through completion of a 2-year Associate Degree, technical vocational training, or equivalent combination of experience and education
2+ years of directly related or relevant experience
CPhT required
Florida Pharmacy Technician License preferred
Ability to communicate effectively both orally and in writing
Strong organizational skills
attention to detail
Ability to work quickly and accurately under time and volume constraints
Ability to be proactive and tenaciously seek solutions under minimum supervision
Demonstrated competence in Microsoft Excel and Word

Job Responsibility

Performs patient onboarding, benefit verification, prior authorization, financial assistance and appeals processes
Interacts with patients and providers to obtain insurance benefits and patient information needed to request prior authorizations
Ensure patient-specific reimbursement related information is obtained and available for review and for tracking of replacement product
Obtains appropriate signatures and documentation for completed PAP applications prior to submission
Completes patient adherence activities that may include notification of upcoming refills, coordination, tracking, and confirmation of prescription delivery
Works within health system’s electronic medical record system and other applicable systems to support workflow management and to document activities
Provides integrated services to the health system and its component parts to increase prescription capture rate, ensure timely delivery of infusion medications, improve patient outcomes and reduce readmissions
Resolves barriers proactively that may affect reimbursement at assigned facilities
Establish business relationships with assigned clinic staff, pharmacy, and hospital contacts
Readily assists on special projects within job scope to improve reimbursement optimization

What we offer

Medical
dental
vision care
comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
support for working families which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave
variety of training programs
professional development resources
opportunities to participate in mentorship programs, employee resource groups, volunteer activities

Fulltime

Supervisor Pharmacy Technician-prior Auth

This position will report to the Manager of Prior Authorization Team-non special...

Location

United States , Elm Grove

Salary:

30.70 - 46.05 USD / Hour

Advocate Aurora Health

Expiration Date

Until further notice

Requirements

Pharmacy Technician certification (CPhT) issued by the Pharmacy Technician Certification Board needs to be obtained within 2 years
Pharmacy Technician Certified (ExCPT) issued by the National Healthcareer Association needs to be obtained within 2 years
If working in WI: Registered as a Pharmacy Technician through Wisconsin Department of Safety and Professional Services, application must be submitted prior to start date
If working in IL: Registered as a Pharmacy Technician through Illinois Department of Financial and Professional Regulation, application must be submitted prior to start date with license obtained within 60 days of date of submission
High School Graduate
Typically requires 3 years of experience in pharmacy as a technician, with experience as a lead or senior level staff
Demonstrated leadership skills and abilities including organization, prioritization, decision making, team building, customer service, and conflict resolution
Advanced level knowledge of the advances in pharmaceutical practices and understanding of health care and retail pharmacy trends
Knowledge of pharmacy standards, policies, procedures, and Health Insurance Portability and Accountability Act (HIPAA) regulations
Intermediate computer skills including the ability to navigate through a database and run reports

Job Responsibility

Supervises operational activities of pharmacy technicians, coordinates staff to meet daily priorities, resolves issues, and insures services are safe, timely and high quality
Ensures appropriate documentation is completed and retained
Participates in the maintenance of department compliance with federal, state, Accrediting Organization, and other regulatory law and/or standards
Provides leadership, training and support for department strategic initiatives
Supports budget targets through inventory management, waste reduction, and efficient workflows
Coordinates daily staffing and scheduling of pharmacy technicians to ensure workload needs of the department are met
Problem solves daily issues as needed
Coordinates departmental Quality Assurance activities including but not limited to, patient care area inspections, unit-based cabinet inspections, refrigerator logs, controlled substance audits, and medication event tracking
Ensures that all pharmacy technicians are providing safe, accurate, and efficient services in the drug distribution and sterile products preparation
Leads team members to comply with strategies and tools to achieve system, hospital and department goals

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Supervisor Pharmacy Technician-prior Auth

This position will report to the Manager of Prior Authorization Team-non special...

Location

United States , Elm Grove

Salary:

30.70 - 46.05 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Pharmacy Technician certification (CPhT) issued by the Pharmacy Technician Certification Board needs to be obtained within 2 years
Pharmacy Technician Certified (ExCPT) issued by the National Healthcareer Association needs to be obtained within 2 years
If working in WI: Registered as a Pharmacy Technician through Wisconsin Department of Safety and Professional Services, application must be submitted prior to start date
If working in IL: Registered as a Pharmacy Technician through Illinois Department of Financial and Professional Regulation, application must be submitted prior to start date with license obtained within 60 days of date of submission
High School Graduate
Typically requires 3 years of experience in pharmacy as a technician, with experience as a lead or senior level staff
Demonstrated leadership skills and abilities including organization, prioritization, decision making, team building, customer service, and conflict resolution
Advanced level knowledge of the advances in pharmaceutical practices and understanding of health care and retail pharmacy trends
Knowledge of pharmacy standards, policies, procedures, and Health Insurance Portability and Accountability Act (HIPAA) regulations
Intermediate computer skills including the ability to navigate through a database and run reports

Job Responsibility

Supervises operational activities of pharmacy technicians, coordinates staff to meet daily priorities, resolves issues, and insures services are safe, timely and high quality
Ensures appropriate documentation is completed and retained
Participates in the maintenance of department compliance with federal, state, Accrediting Organization, and other regulatory law and/or standards
Provides leadership, training and support for department strategic initiatives
Supports budget targets through inventory management, waste reduction, and efficient workflows
Coordinates daily staffing and scheduling of pharmacy technicians to ensure workload needs of the department are met
Problem solves daily issues as needed
Coordinates departmental Quality Assurance activities including but not limited to, patient care area inspections, unit-based cabinet inspections, refrigerator logs, controlled substance audits, and medication event tracking
Ensures that all pharmacy technicians are providing safe, accurate, and efficient services in the drug distribution and sterile products preparation
Leads team members to comply with strategies and tools to achieve system, hospital and department goals

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

New

Specialty Pharmacy Technician - No Nights/Weekends

At CVS Specialty, we’re redefining pharmacy care for patients with complex condi...

Location

United States , Atlanta

Salary:

17.00 - 28.46 USD / Hour

CVS Health

Expiration Date

July 31, 2026

Requirements

Registered Pharmacy Technician License with Georgia Board of Pharmacy
One (1) or more years of experience as a pharmacy technician
Verifiable High School Diploma or GED

Job Responsibility

Ensuring prescriptions are filled and shipped accurately and efficiently
data entry
benefit verification
contacting patients for refills
coordinating deliveries
processing new referrals
assisting walk-in patients
managing inventory
preparing medications for shipment including those requiring special handling
supporting prior authorizations

What we offer

medical
dental
vision insurance
paid days off
ten paid holidays
bonus
commission
short-term incentive program
retirement savings options
wellness programs

Fulltime

New

Specialty Pharmacy Technician -No Weekends

We're building a world of health around every individual — shaping a more connec...

Location

United States , Fort Worth

Salary:

17.00 - 28.46 USD / Hour

CVS Health

Expiration Date

September 04, 2026

Requirements

Active Registered Pharmacy Technician License in the State of Texas
1+ Years of Pharmacy Experience
Verifiable High School Diploma / GED

Job Responsibility

Data entry
processing new referrals
benefit verifications
answering phones
making refill calls
setting up deliveries with patients
assist walk-in patients
fill and ring out prescriptions
maintain adequate inventory
manage inventory functions

What we offer

Medical insurance
dental insurance
vision insurance
supplemental benefits
discount programs
paid days off
ten paid holidays
bonus
commission or short-term incentive program
retirement savings options

Fulltime

Pharmacy Technician II

JOB TITLE: Pharmacy Technician II EMPLOYER: Twelfth One, LLC dba Aspen Infusion...

Location

United States , Chandler

Salary:

22.00 - 24.00 USD / Hour

Aspen Infusion

Expiration Date

Until further notice

Requirements

Preferred at least one (1) year of sterile compounding experience in a USP 797 compliant cleanroom OR one (1) year of aseptic preparation of infusion-related pharmaceuticals in a hospital or home infusion setting
USP 797 Sterile Compounding Training certificate or on-the-job training in sterile compounding is highly preferred
Organizational skills sufficient to maintain consistently accurate records
Ability to evaluate options and to make efficient decisions
Current license/certification as a Certified Pharmacy Technician
Current knowledge of all applicable state and federal pharmacy laws, rules and regulations
Computer skills that include proficiency with spreadsheets and use of the internet, as well as word processing, and efficient use of the internet and e-mail

Job Responsibility

Assisting the pharmacist by contacting patients over the phone to schedule routine medication refill deliveries, track lab results (for pharmacist review), fax all lab results (after review) to prescriber office, RX claim adjudication and other day to day activities under the direct supervision of the pharmacist
Support the clinical pharmacist by providing superior customer service to ensure timely delivery of patients' medication to their homes
Report any misconduct, suspicious or unethical activities to the Compliance Officer
Represent the company in a professional and courteous manner in all interactions with patients
Manage the daily schedule for patient deliveries, manage inventory, create delivery tickets with individualized patient supplies based on appropriate therapy
Assist with ongoing patients and also new admissions to review new referrals to ensure all necessary documentation is included prior to pharmacist review
Compound, dispense and package medications under the direction of the on-duty pharmacist
Ensure compliance with all licensure and federal, state, and local laws and regulations
observe the company's policies on ''best practices''
Assist in resolving patient concerns and complaints

Specialty Pharmacy Technician II

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Boston

Salary:

17.00 - 34.15 USD / Hour

CVS Health

Expiration Date

Until further notice

Requirements

Active MA Pharmacy Technician license/registration
Certified Pharmacy Technician (CPhT/ExCPT)
4–5 years of pharmacy experience required
Experience working with patients receiving specialty medications
Experience with submission of prior authorization requests to third-party payors
Strong communication, organization, and problem-solving skills
Ability to manage multiple tasks and systems in a fast-paced environment

Job Responsibility

Coordinate and process prescription orders from intake through fulfillment
Conduct refill outreach and support adherence programs for specialty patients
Schedule and coordinate medication deliveries, including time-sensitive and specialty shipments
Submit and follow up on prior authorization requests with third-party payors
Perform benefits investigation and support copay assistance programs
Communicate with patients receiving specialty medications, providers, and insurance companies to resolve access barriers
Accurately document patient interactions and maintain records in pharmacy systems
Triage inbound calls and provide high-touch, patient-centered service
Collaborate cross-functionally to ensure seamless patient care and therapy continuity

What we offer

Medical, dental, vision starting within 30 days
16 PTO days + 10 paid holidays
Free parking Onsite
No weekends
No nights
Off on Major Holidays
Pre-Paid option for public transit
Bonus, commission or short-term incentive program
Retirement savings options
Wellness programs

Fulltime

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Pharmacy Technician - Prior Authorization

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