Job Description
Remote Pharmacy Technician!
Job Description
This role offers an opportunity for a licensed Pharmacy Technician to support the appeals process for Medicare and Medicaid members, with a primary focus on Medicare. You will review denied prior authorization requests, gather additional clinical or administrative information as needed, and prepare complete case files for pharmacists to make final coverage determinations. The position centers on outbound phone-based customer service with members who may be frustrated about medication denials, requiring strong communication skills, empathy, and the ability to manage conversations effectively while maintaining accuracy in documentation and data entry.
Responsibilities
+ Review denied prior authorization cases for Medicare and Medicaid members, with a primary focus on Medicare appeals.
+ Evaluate information provided in each case to determine what additional details are needed to support the appeal.
+ Make 30–...
Job Description
This role offers an opportunity for a licensed Pharmacy Technician to support the appeals process for Medicare and Medicaid members, with a primary focus on Medicare. You will review denied prior authorization requests, gather additional clinical or administrative information as needed, and prepare complete case files for pharmacists to make final coverage determinations. The position centers on outbound phone-based customer service with members who may be frustrated about medication denials, requiring strong communication skills, empathy, and the ability to manage conversations effectively while maintaining accuracy in documentation and data entry.
Responsibilities
+ Review denied prior authorization cases for Medicare and Medicaid members, with a primary focus on Medicare appeals.
+ Evaluate information provided in each case to determine what additional details are needed to support the appeal.
+ Make 30–...