Pharmacy Tech I

Job Title: Pharmacy Tech I
Location: Remote, RI 02895
Duration: 6 Months+

Pay Rate: $20/hr. on W2

Position Summary:
This is a high-volume inbound call position responsible for providing professional and courteous assistance to members, providers, and other callers. The role centers on supporting the criteria-based prior authorization process by reviewing clinical information and ensuring accurate documentation of all determinations.
 
Key Responsibilities:

• Handle incoming calls from members, providers, and other healthcare professionals.
• Deliver exceptional customer service while guiding callers through the prior authorization process.
• Review clinical documentation to determine completeness and eligibility based on established criteria.
• Accurately document all approvals and denials in a timely manner.
• Escalate clinical judgment calls and complex inquiries to the pharmacist for further evaluation.
• Maintain compliance with regulatory requirements and internal protocols.

 
Required Qualifications:

• Minimum of 1 year of experience as a pharmacy technician in a support or call center role.
• National Pharmacy Certification REQUIRED (state certification is not required).
• Eligible for state registration, certification, or licensure as required by state regulations.
• Strong computer skills, including proficiency in word processing and spreadsheet applications.
• Excellent verbal and written communication skills.
• At least 1 year of experience in a high-volume customer service or healthcare call center environment.

 
Schedule:

• Standard 8.5-hour workday including two 15-minute breaks and one 30-minute lunch.
• Permanent, consistent schedule assigned after training based on business needs.
• Daily 8-hour shifts assigned as per business requirements.

 
Education:

• Verifiable High School diploma or GED is required.