Pharmacy Technician Prior Authorization Representative

Fully remote (never coming onsite)

This position takes in-coming calls from members, providers, etc. providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.

Candidate should be comfortable utilizing the full MS Office Suite (MS TEAMS, Outlook are REQUIRED and Word and Excel is helpful)

At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function. (preferred)

The Pharmacy Technician certification is preferred but not required at a state or national level. Will also consider a Pharm Tech Trainee license.

Advanced computer skills including word processing and spreadsheet utilization.

Excellent customer service skills (written and verbal) a must.

At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function.

National pharmacy technician certification. Eligible for state registration, certification or licensure per state regulations.

Minimum (1) year experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position.

• 1. High-Volume Healthcare Call Center Experience
  • Minimum 1 year of inbound call center experience
  • Healthcare, insurance, PBM, pharmacy, medical office, or similar environment preferred
  • Strong customer service and communication skills
• 2. Pharmacy Technician Experience / Knowledge
  • Pharmacy Technician experience strongly preferred
  • Active Pharmacy Technician License, Certification, or Trainee License preferred
• 3. Computer Multitasking & Documentation Skills
  • Ability to navigate multiple systems while handling calls
  • Proficiency with Outlook and MS Teams required
  • Strong data entry and documentation skills

Verifiable High School diploma or GED is required.

Fully remote (never coming onsite)

Schedule:

Assigned 8-hour shifts between 8:00 AM - 8:00 PM CT, Monday-Friday

Training: 8:00 AM - 4:30 PM CT, Monday-Friday for 6 weeks

Overtime:
Mandatory

All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status