Remote Prior Authorization Pharmacy Technician

Job Title : Remote Pharmacy Technician

Pay Rate : $20.00 / hour

Start Date : November 10th, 2025

Location : Remote (U.S.-based only)

Schedule : Full-time | 8.5-hour workday (includes two 15-minute breaks and one 30-minute lunch)

Position Overview :

We are hiring Remote Pharmacy Technicians to join our growing team starting November 10th . This is a high-volume, inbound call position where you will provide professional and courteous support to members, healthcare providers, and other callers. The focus of this role is on managing the criteria-based prior authorization process , reviewing clinical information, and ensuring accurate and timely documentation of all determinations.

This is an excellent opportunity for pharmacy technicians who thrive in fast-paced, remote environments and are passionate about delivering excellent customer service in the healthcare space.

Key Responsibilities :

Handle a high volume of incoming calls from members, providers, and other healthcare professionals.

Deliver exceptional customer service while educating and guiding callers through the prior authorization process.

Review clinical documentation for completeness and determine eligibility based on established criteria.

Accurately document all prior authorization approvals and denials in accordance with internal protocols.

Escalate cases requiring clinical judgment to a pharmacist for review.

Maintain compliance with HIPAA, regulatory requirements, and company policies.

Work Schedule :

This position follows a standard 8.5-hour workday , which includes :

Two 15-minute breaks

One 30-minute unpaid lunch break

Daily 8-hour shifts will be assigned based on business needs and confirmed after the training period.

Employees will receive a permanent, consistent schedule once training is completed.

Required Qualifications :

Minimum 1 year of experience as a pharmacy technician in a support, inbound call center, or healthcare environment.

Strong customer service and communication skills, especially in high-volume settings.

National Pharmacy Certification or State License is PREFERRED and must be in good standing.

Eligible for state registration, certification, or licensure as preferred by individual state regulations.

Proficient with computer systems, including word processing and spreadsheet applications.

Excellent verbal and written communication skills.

Familiarity with medical terminology, prescription drug names, and pharmacy benefit processes.

Preferred Experience :

Experience working in prior authorization , PBM, or managed care environments.

Background in telepharmacy or other remote pharmacy-related positions.

Bilingual candidates (especially English / Spanish) are a plus.

Additional Information :

This is a fully remote position; candidates must have a reliable internet connection and a distraction-free workspace.

All necessary training and equipment will be provided before the official start date.

This role may lead to long-term employment opportunities based on performance and business needs.

Ready to apply?

Submit your updated resume and certification details. Qualified candidates will be contacted to begin the interview process.

PandoLogic. Keywords : Prior Authorization Technician, Location : North Providence, RI - 02911 , PL : 600573637