Required Education:
• High School Diploma or Equivalent
Preferred License/Certification:
• Pharmacy Technician certification or Pharmacy Technician Trainee license
Required Experience:
• Minimum 1 year of customer service experience in a high-volume call center environment
• Healthcare, insurance, PBM, pharmacy, medical office, or similar experience preferred
• Strong customer service skills, both written and verbal
• Advanced computer skills, including word processing and spreadsheet utilization
• Ability to navigate multiple systems while handling calls
• Proficiency with Microsoft Teams and Outlook
• Strong data entry and documentation skills
• Ability to work effectively in a high-volume environment
• Ability to meet mandatory overtime requirements
• Ability to work from a private, HIPAA-compliant workspace
• Smartphone required for use of the PING application
Preferred Experience:
• At least 1 year of experience as a Pharmacy Technician coordinating activities in an administrative support function
• Pharmacy Technician experience
• Experience in healthcare, insurance, PBM, pharmacy, medical office, or similar environments
• Prior Authorization experience
• Experience working in a high-volume inbound call center
• Experience navigating multiple systems while handling calls
• Experience documenting Prior Authorization approvals and denials
Remote Pharmacy Technician-Prior Authorization Call Center Overview:
• The Remote Pharmacy Technician-Prior Authorization Call Center provides professional telephone assistance to members, providers, and other callers through a criteria-based Prior Authorization process
• The representative handles incoming calls, gathers and documents required information, and maintains complete, timely, and accurate documentation of Prior Authorization approvals and denials
• Clinical questions and judgment calls are transferred to the pharmacist for appropriate review and decision-making
• The role requires strong customer service and communication skills, advanced computer proficiency, and the ability to navigate multiple systems while managing calls and documentation
• Candidates should be comfortable working in a high-volume environment, meeting productivity and quality expectations, and maintaining accurate records
Job Duties:
• Take incoming calls from members, providers, and other callers
• Provide professional telephone assistance throughout the criteria-based Prior Authorization process
• Review and process Prior Authorization requests according to established criteria and procedures
• Maintain complete, timely, and accurate documentation of approvals and denials
• Transfer clinical questions and judgment calls to the pharmacist
• Coordinate activities related to Prior Authorization processing and administrative support
• Navigate multiple computer systems while handling calls
• Perform accurate data entry and documentation
• Utilize Microsoft Teams and Outlook as part of daily workflow
• Provide excellent customer service through verbal and written communication
• Maintain productivity and quality standards in a high-volume environment
• Follow applicable procedures and requirements for handling confidential healthcare information
- **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
You are customer service oriented. No matter whether it was the Recruiter or someone in Human Resources/Payroll, you were responsive. That to me is key!
Tonya, Consultant
Rose International was not only attentive and responsive, but they were very professional and helpful whenever I called or needed any assistance.
Diane, Consultant
Working for Rose International was the most pleasant assignment I have ever had. They were always on top of situations when necessary, and very helpful. I was very proud to be an employee of Rose International, and would recommend anyone to try to work with them.
Melvon, Consultant
I had a very positive experience working for Rose. The entire process is very efficient and easy.
Joanne, Consultant
As a contractor, I have to say that Rose International was by far the best agency I have worked for.
Q'testdalir, Consultant
EMPLOYEE COMMENTS