Prior Auth Pharmacy Tech I

@ Lensa

Job Overview

The Prior Auth Pharmacy Tech I at Lensa handles inbound calls from providers, pharmacies, and members. The role involves providing professional assistance through a criteria-based prior authorization process, maintaining accurate documentation, and escalating clinical queries to the pharmacist team.

Responsibilities

• Manage inbound calls, faxes, and ePA requests with courtesy and professionalism.
• Ensure compliance with company, state, and federal guidelines.
• Communicate with internal groups including seniors, pharmacists, and appeals teams.
• Elevate clinical inquiries to pharmacists as needed.
• Perform additional duties such as sorting faxes, maintaining email boxes, and CAS maintenance.

Experience & Education

Preferred 0-3 years of customer service experience, ideally in a high volume call center within healthcare or social services. A high school diploma or GED is required. Additionally, an active pharmacy technician license or certification is needed (trainee license is acceptable in some states).

About US Tech Solutions

US Tech Solutions is a global staff augmentation firm that provides a variety of talent on-demand and workforce solutions. Visit US Tech Solutions for more information.

Key skills/competency

Inbound calls, Prior authorization, Documentation, Compliance, Communication, Customer service, Call center, Escalation, Healthcare, Pharmacy