Job Summary

TranscribePro USA is seeking a detail-oriented and highly organized Remote Prior Authorization Pharmacy Technician (CPhT) to join our Pharmacy Benefit Management (PBM) team. The ideal candidate will be responsible for supporting healthcare providers and patients by facilitating prior authorization requests, ensuring timely approvals, and maintaining compliance with PBM protocols and pharmacy regulations. This is a fully remote position, offering the flexibility to contribute to a fast-paced, patient-centered environment from the comfort of your home.

Key Responsibilities

• Review and process prior authorization requests for medications in compliance with PBM guidelines.
• Verify patient eligibility, prescription details, and insurance coverage.
• Communicate with healthcare providers, pharmacists, and insurance representatives to obtain necessary documentation.
• Accurately input data into electronic medical and pharmacy records systems.
• Monitor and track prior authorization requests to ensure timely approvals or denials.
• Maintain strict confidentiality of patient information in accordance with HIPAA regulations.
• Identify and resolve discrepancies in prior authorization requests promptly.
• Support the pharmacy team in addressing member and provider inquiries related to prescription coverage.
• Contribute to continuous process improvement initiatives to enhance workflow efficiency and patient satisfaction.

Required Skills and Qualifications

• Current Certified Pharmacy Technician (CPhT) credential.
• Strong knowledge of pharmacy terminology, prescription processing, and PBM operations.
• Familiarity with insurance plans, prior authorization requirements, and pharmacy benefit management systems.
• Excellent communication skills for interacting with healthcare providers and team members.
• Strong organizational skills and attention to detail.
• Ability to work independently in a remote environment while meeting deadlines.
• Proficiency in Microsoft Office Suite and pharmacy-related software.

Experience

• Minimum 2 years of experience as a pharmacy technician, ideally with prior exposure to prior authorization processes in a PBM setting.
• Experience working in a remote or virtual environment is preferred.
• Demonstrated experience in handling high volumes of requests with accuracy and efficiency.

Working Hours

• Full-time, remote schedule.
• Flexible hours may be available depending on the team’s coverage needs.
• Standard business hours with potential for occasional evening or weekend support.

Knowledge, Skills, and Abilities

• In-depth understanding of PBM operations, pharmacy benefit plans, and prior authorization protocols.
• Strong critical thinking and problem-solving skills.
• Ability to navigate multiple software systems and databases efficiently.
• Strong interpersonal skills to collaborate with healthcare providers, pharmacists, and internal teams.
• Self-motivated, proactive, and capable of working independently in a remote setting.

Benefits

• Competitive salary with performance-based incentives.
• Comprehensive health, dental, and vision insurance.
• Paid time off (PTO) and holidays.
• Professional development opportunities and certification support.
• Fully remote work with flexibility to balance work-life responsibilities.
• Employee wellness programs and resources.

Why Join TranscribePro USA

• Be part of a leading company that values accuracy, compliance, and patient-centered care.
• Work in a supportive, collaborative, and flexible remote environment.
• Gain exposure to advanced PBM systems and workflows, enhancing your professional growth.
• Join a team committed to improving healthcare access and medication management for patients nationwide.

How to Apply

Interested candidates are encouraged to submit a resume and cover letter highlighting relevant experience to us. Please include “Remote Prior Authorization Pharmacy Technician (CPhT)” in the subject line of your email. Qualified candidates will be contacted for a virtual interview.