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Role Description
The Remote Pharmacy Tech/MA supports healthcare providers and patients by managing the complete lifecycle of Prior Authorizations (PAs), utilizing digital tools to ensure efficient processing, accurate documentation, and timely medication access from a home-based office.
• Manage and process all steps of the Prior Authorization workflow, from initiation to resolution, for various medications.
• Collaborate digitally with physician offices, pharmacies, insurers, and internal teams via phone, email, and online portals to expedite PAs.
• Communicate directly with payers (insurers) and pharmacies to resolve coverage issues and fulfill requirements.
• Accurately document all PA activities, status updates, and communications in the electronic system.
• Maintain strict adherence to HIPAA and company compliance standards in a virtual environment.
Qualifications
• Must possess proven self-motivation, strong time management, and excellent problem-solving skills for independent remote work.
• Must have a dedicated home office space, reliable high-speed internet, and proficiency with digital communication/workflow tools.
• High School Diploma required; Pharmacy Technician (CPhT) or Medical Assistant (CMA/RMA) certification/training preferred, with formal training in healthcare software highly valued.
• Proven experience in pharmacy, insurance verification, or physician practice support (especially PAs/reimbursement); experience with remote healthcare roles highly desirable.
• Proficiency in EMR/EHR systems, strong data entry, and ability to quickly learn new software.
Company Description
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