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Prior Authorization Pharmacy Technician

United States 43700.00 - 62480.00 USD / Year · Job Posted February 21, 2026
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Job Description

The Patient Services Specialist I is responsible for initiating, researching, completing, submitting, and tracking Patient Services Program applications for assigned facilities. The incumbent is responsible for conducting benefit verification and completing necessary third-party prior authorizations, reimbursement activities, patient assistance, and copay program enrollments. They may also 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. This role requires proactive interaction with facility staff, patients, payers, and patient assistance programs (PAP).

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
  • Ensure patient-specific reimbursement related information is obtained and available for review and for tracking of replacement product
  • Obtain appropriate signatures and documentation for completed PAP applications
  • Complete patient adherence activities
  • Work within health system’s electronic medical record system and other applicable systems
  • Provide integrated services to the health system to increase prescription capture rate, ensure timely delivery of infusion medications, improve patient outcomes and reduce readmissions
  • Resolve barriers proactively that may affect reimbursement
  • Establish business relationships with assigned clinic staff, pharmacy, and hospital contacts
  • Assist on special projects within job scope to improve reimbursement optimization
  • Communicate patient and provider feedback to PHS management
  • Interface appropriately with assigned key account associates
  • Demonstrate flexibility and adapt to changes in payer, pharmacy and patient assistance program processes
  • Provide temporary coverage to support clients and patients

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

Nice to have

  • Florida Pharmacy Technician License
  • Bachelor's degree

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

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  • 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
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  • Works within health system’s electronic medical record system and other applicable systems to support workflow management and to document activities
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