We are seeking a dedicated Certified Pharmacy Technician (CPhT) with managed care experience to join our client’s team as a Prior Authorization Specialist. In this role, you will be responsible for managing prescription prior authorization requests, ensuring accurate data entry and assisting with clinical and customer service support. This is a full-time, remote position starting within 10 days of offer acceptance.
Prior Authorization Specialist Responsibilities:
- Receive, review and provide accurate data entry of prescription prior authorization requests
- Conduct outreach calls to obtain necessary clinical criteria forms and progress notes
- Assist with the onboarding of new employer groups and new membership
- Communicate drug formulary guidelines, prior authorization criteria and plan benefit design to participants, providers and pharmacies
- Resolve escalated participant issues and claims-related issues
- Utilize basic Microsoft Excel functions and track metrics
- Support ongoing clinical programs and assist members with obtaining assistance programs
- Provide customer service support, including handling member complaints and escalations
Prior Authorization Specialist Requirements:
- 2+ years of experience as a pharmacy technician
- Certified Pharmacy Technician (CPhT) License required
- Prior authorization experience within a pharmacy benefit manager (PBM) setting required
- Experience with resolving rejected claims and third-party claims adjudication systems
- Intermediate Microsoft Excel skills preferred
- Patient, provider, and pharmacy customer service experience preferred
- Preferred fluency in Spanish
- Strong communication, analytical and organizational skills
- Detail-oriented with a focus on providing excellent customer service
- Ability to interact effectively with patients, providers and coworkers
If you're a qualified Certified Pharmacy Technician with experience in prior authorizations and customer service, and you're excited about this remote opportunity, we encourage you to apply today! We look forward to hearing from you.
Thank you,
Kyla Slayton
Project Manager
LaSalle Network
LaSalle Network is an Equal Opportunity Employer m/f/d/v.
LaSalle Network is the leading provider of direct hire and temporary staffing services. For over two decades, LaSalle has helped organizations hire faster and connect top talent with opportunities, from entry-level positions to the C-suite. With units specializing in Accounting and Finance, Administrative, Marketing, Technology, Supply chain, Healthcare Revenue Cycle, Call Center, Human Resources and Executive Search. LaSalle offers staffing and recruiting solutions to companies of all sizes and across all industries.
LaSalle Network is the premier staffing and recruiting firm, earning over 100 culture, revenue and industry-based awards from major publications and having its company experts regularly contribute insights on retention strategies, hiring trends and hiring challenges, and more to national news outlets. LaSalle Network offers temporary Field Employees benefit plans including medical, dental and vision coverage. Family Medical Leave, Worker's compensation, Paid Leave and Sick Leave are also provided. View a full list of our benefits here: View a full list of our benefits here.
