Key skills
CommunicationTime Management
About this role
Role Overview
- Review and process prescription prior authorization and appeal requests
- Organize and manage documents, verify profiles, and ensure accuracy for patient/member records
- Use decision trees and protocols to evaluate requests and provide approvals or rationales for denials
- Communicate decisions and updates to patients and providers, ensuring they feel supported
- Forward complex cases for additional review and follow up as needed
- Provide compassionate, timely support while staying organized and detail focused
Requirements
- A valid Indiana Pharmacy Technician license
- A valid national CPhT certification (or ability to obtain within six months of hire)
- High school diploma
- 1–2 years of pharmacy experience (retail, LTC, hospital, etc.)
- Proficiency in software systems, data entry, and the Microsoft Office suite
- Strong organizational and time management skills
- Excellent customer service and communication abilities
- A team player with a positive attitude who embodies our core values: Committed, Collaborative, Consultative, Caring
- Ability to work overtime as needed, pass background checks and pre-employment drug screen, and complete E-Verify requirements
- Must have access to a quiet, distraction-free workspace
Benefits
- Comprehensive medical, dental, vision, life, and disability insurance
- Paid Time Off
- 401(k) with company match