Prior Authorization Technician - Pharmacy Technician

Job Purpose: In this role, the individual will support patient care by removing barriers to medication access. This includes working with insurance companies and clinician offices to facilitate medication approvals through prior authorizations, as well as collaborating with patients and various funding sources, such as foundations or pharmaceutical manufacturers, to obtain financial assistance for high-cost copays. The role also involves providing phone support to patients, navigating pharmacy dispensing systems to adjudicate claims, process refills, and promoting medication adherence. Job Duties: Communicate directly with insurance companies to facilitate medication approvals. Navigate pharmacy operating systems to input data, adjudicate test claims, and develop action plans for follow-up. Communicate effectively across databases, electronic medical records, and email systems to document patient concerns, prior authorization status, and financial assistance needs. Review prescriptions with physicians’ offices to ensure optimal patient care. Maintain complete and accurate records of patient communications. Assist patients with managing their pharmacy insurance claims. Collaborate closely with pharmacists and pharmacy liaisons to deliver a coordinated, high-quality patient care experience. Communicate directly with patients via phone to support medication adherence and complian...