Back to Jobs

REMOTE Pharmacy Technician/Prior Authorization- PTCB required

Remote, USA Full-time Posted 2025-05-22

Job Description

Job Description

A-Line Staffing is actively searching for Multiple REMOTE Pharmacy Techs/Prior Authorization reps for a major healthcare company located in the Orlando, FL surrounding area. This is an exciting opportunity with a client that is looking to move fast for the right candidate. Please contact Brad Zidek at [email protected] for immediate consideration! Or call at 412-823-2500.
• Must have STATE LICENSE******

Job Description:

The Representative II will work closely with providers to process prior authorization , and drug benefit exception requests o in accordance with Medicare Part D CMS Regulations. Must apply information [provided through multiple channels] to the plan criteria defined through work instruction. Research and conduct outreach via phone to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close cases. Responsible for research and correction of any issues found in... the overall process. Phone assistance is required to initiate and/or resolve coverage requests. Escalate issues to Coverage Determinations and Appeals clinical pharmacists and management team as needed. Must maintain compliance at all times with CMS and department standards. Position requires schedule flexibility including rotations through nights, weekend and holiday coverage.

Experience:
• Strong Attention to detail 2.Excellent verbal and written communication and interpersonal skills w/ ability to maintain patient confidentiality 3.Proficient computer skills and the ability to navigate in a Windows based environment 4.Ability to follow directions, and adapt in dynamic work environment; ability to adapt to change and remain flexible 5.Ability to work in a high pressure, time sensitive environment 6.Project a professional business image, through phone interaction as well as internal communications 7.Demonstrated problem-solving ability and attention to detail 8.Demonstrated sense of urgency with assignments 9.Strong organizational skills 10.Strong telephone skills 11.Ability to read and understand pharmacy/medical terminology 12.Ability to read, analyze and interpret general business correspondence, technical procedures and governmental regulations. 13.Ability to identify and solve practical problems and deal with a variety of concrete variables in standardized situations. Ability to perform basic mathematics calculations maybe required 14.Ability to interpret a variety of work instructions provided through a variety of mediums 15.Ability to anticipate needs and resolve issues with urgency 16.Ability to consistently meet quality and production standards 17.Displays confidence in the ability to learn complex material 18.Demonstrates intellectual curiosity through inquiries to ensure deep understanding of the business and deliver accurate results.

Please contact Brad Zidek at [email protected] for immediate consideration! Or call at 412-823-2500

Apply Job!

 

Similar Jobs

Work from Home Sales: Hiring Immediately

Remote, USA Full-time

Remote Part Time Patient Services Representative

Remote, USA Full-time

Work From Anywhere - Hotel Reservationist

Remote, USA Full-time

REMOTE $17/hr. Medical Insurance Verification Specialist.

Remote, USA Full-time

Virtual Trip Coordinator - Entry Level

Remote, USA Full-time

Internet Rater | Part-time WFH opportunity

Remote, USA Full-time

$23/hr PT Security ? Cottage Grove

Remote, USA Full-time

Vice President of Sales - REMOTE

Remote, USA Full-time

Remote - Customer Service in Healthcare

Remote, USA Full-time

Delta Airlines Customer Service Representative (Remote)

Remote, USA Full-time

RN Cardiac Cath Lab

Remote, USA Full-time

Entry Level Remote Chat Operator Hiring Now (No Experience Required)

Remote, USA Full-time

Product Manager (Multiple Levels)

Remote, USA Full-time

CVS Remote Customer Service For Clients $25/Hour -

Remote, USA Full-time

Remote Jobs At Netflix, Netflix Jobs Tagger Remote

Remote, USA Full-time

Website Chat Assistant - Work remote/ no experience needed

Remote, USA Full-time

Field Based HSS Clinical Coordinator Registered Nurse - Johnson, Montgomery,Labette counties, KS

Remote, USA Full-time

Data Entry Clerks / No Experience (Remote)

Remote, USA Full-time

Walmart – Senior Manager, Digital Strategy & Operations – Home eCommerce (Business Operations Manager III) – Hoboken, NJ

Remote, USA Full-time

Representative Customer Service La Linea Level 7-1 (English & Spanish Only)

Remote, USA Full-time