Location: West Palm Beach,FL, USA
Actalent is Hiring a team of Remote Pharmacy Technician
Must sit in Florida or Georgia
Must have national Certification - PTCB or NHA
Job Description
We are looking for skilled Pharmacy Technicians to join our team in Florida. This role involves reviewing Prior Authorizations for determinations in a large healthcare insurance company. The Technician must approve or deny requests and send them to a Pharmacist for final review. You will handle all health plans and various types of medications.
Responsibilities
* Process prescription exceptions, including resolving claim rejects and member and physician outreach.
* Enter member demographics and prescription information into the data processing system.
* Research and resolve rejected insurance billing issues and escalated member issues.
* Escalate questions regarding prescriptions to a Pharmacist for interpretation or provide direction on processing.
* Assist with inbound and outbound patient or physician calls.
Essential Skills
* CPhT for the state of FL or GA
* 2+ years of retail pharmacy experience
* Prior authorization experience
* Current Pharmacy Registration and Certification as required by the state of operation.
* Strong computer skills.
Additional Skills & Qualifications
* Experience with Microsoft Office, including Outlook.
* Experience in call centers, PBM, hospitals, or specialty pharmacies.
* Must have strong WiFi and own office space with a closed door.
Work Environment
This is a professional remote environment where you will work with multiple screens and within multiple systems. You must have strong WiFi and a dedicated workspace with a closed door. The company will provide the necessary equipment, including a computer, monitor, and headset. The shift requires availability Monday-Friday from 8 am-8 pm in your time zone, with rotating weekends and some holidays. Training will be conducted from 10 am-6:30 pm EST. After training, you will transition to your regular shift. This role offers the opportunity to go permanent with benefits and PTO upon permanent hire. Join a nationwide healthcare company offering long-term career stability.
Pay and Benefits
The pay range for this position is $18.00 - $18.00
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
* Hiring diverse talent
* Maintaining an inclusive environment through persistent self-reflection
* Building a culture of care, engagement, and recognition with clear outcomes
* Ensuring growth opportunities for our people
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email ...@actalentservices.com for other accommodation options.