Job Title: Remote Pharmacy Technician

Job Description

As a Pharmacy Technician in the Appeals department, you will work primarily with Medicare and Medicaid patients, focusing on denied Prior Authorizations. You will review provided information, reach out for additional details if necessary, and forward cases to Pharmacists for final determination. You will engage with elderly Medicare members, who may be frustrated due to denied medication, mostly injectable treatments administered at doctor's offices. Expect to make approximately 40 outbound calls per shift.

Responsibilities

• Review information provided on denied Prior Authorizations.
• Reach out for additional information as needed.
• Forward cases to Pharmacists for final determination.
• Make approximately 40 outbound calls per shift to Medicare/elderly members.
• Handle conversations with frustrated members and provide excellent customer service.
• Ensure accurate data entry and management of claims and denials.

Essential Skills

• Pharmacy technician certification (Cpht)
• Experience in data entry, managed care, claims, and denials
• Strong customer service skills
• Proficiency with computer skills
• Ability to work remotely and independently

Additional Skills & Qualifications

• Ability to control and redirect conversations over the phone
• Comfortable working weekends and holidays

Work Environment

This position is 100% remote, requiring a closed-door setting with limited distractions and HIPAA compliance. Strong WiFi is necessary. Training lasts 4-6 weeks, Monday to Friday from 10:00 AM to 6:30 PM EST. You must be comfortable working weekends and holidays. Enjoy benefits such as holiday pay after 30 days, and when permanent, holiday pay, PTO, flexibility, and additional benefits.

Pay and Benefits

The pay range for this position is $18.00 - $20.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Mar 10, 2025.

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 actalentaccommodation@actalentservices.com for other accommodation options.