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Prior Authorization Pharmacy Technician

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Cencora

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Location:
United States , Remote

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Category:

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Contract Type:
Not provided

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Salary:

43700.00 - 62480.00 USD / Year

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). 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.

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
  • Communicates patient and provider feedback to PHS management to enhance process improvement
  • Interfaces appropriately with assigned key account associates with information relevant to additional products and services
  • Demonstrates flexibility and adapts to changes in payer, pharmacy and patient assistance program processes and requirements
  • Provides temporary coverage to support clients and patients in the event of onsite resource absences

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
  • Strong analytical skills
  • Strong interpersonal skills
  • Familiarity with insurance/claims processing, pharmaceutical products, services, software, and drug interactions

Nice to have:

  • Florida Pharmacy Technician License
  • Bachelor's degree
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

Additional Information:

Job Posted:
February 20, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:

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