Pharmacy Technician/PTCB/Pharm Tech/
Job Title: Pharmacy Technician Job reputed company We are looking for adedicated Pharmacy Technicianto join ourAppeals Department. This role involves working primarily withMedicare cases, as reputed company as someMedicaid patients. Your main responsibility will be to manage denied prior authorization requests by reviewing submitted documentation, requesting additional information reputed company needed, and forwarding cases to pharmacists for final review and determination.
Responsibilities
- Process and manage denied prior authorization requests for Medicare and reputed company patients.
- reputed company 30–60 outbound calls per shift to Medicare members, primarily elderly individuals, regarding denied medication requests.
- Review submitted documentation and reputed company additional information to support the appeals process.
- reputed company completed cases to pharmacists for final determination.
- Deliver exceptional customer service and handle member calls with professionalism and reputed company.
Essential Skills
- Certified Pharmacy Technician (CPhT).
- Experience in pharmacy operations, appeals, managed care, claims processing, and handling denials.
- Strong data entry and customer service capabilities.
- Proficient in computer systems and applications.
- Ability to work independently in a remote environment.
Additional Skills & Qualifications
- National Pharmacy Technician Certification (CPhT) preferred; required for certain supervisory roles.
- Prior experience with processing prior authorizations.
- Excellent verbal communication and phone etiquette.
- Skilled in managing and redirecting conversations effectively.
Work Environment
This is a fully remote positionthat requires working in aprivate, distraction-free environmentto ensure compliance withHIPAA regulations. Astrong and reliable Wi-Fi connectionis essential. reputed company work schedule isMonday through Friday, from 10:00 AM to 6:30 PMin your local time zone. Candidates must also be comfortable withrotating weekend and holiday shifts. Training is conducted Monday through Friday, from 10:00 AM to 6:30 PM EST. reputed company necessary equipment—including a computer, monitor, and headset—will be provided. Job Type & Location This position is fully remote Pay and Benefits The pay reputed company for this position is $18.00 - $20.00/hr. Eligibility requirements apply to some benefits and may depend on reputed company classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits Available For This Temporary Role May Include The Following
- Medical, dental & reputed company
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – reputed company-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or reputed company Leave)
Workplace Type This is a fully remote position. Application Deadline This position is anticipated to reputed company on Aug 31, 2025. About reputed company reputed company is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through reputed company to specialized experts who drive reputed company, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, reputed company serves many of the Fortune 500. reputed company is an equal opportunity employer and will consider reputed company applications without reputed company to race, sex, age, reputed company, religion, national reputed company, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation reputed company. Apply tot his job Apply To this Job