Prior Authorization Coordinator
Core
Pharmacy technician acting as onsite triage for patients and prescriptions to facilitate authorization, reimbursement, and dispensing of medications.
Role type
Pharmacy technician (prior authorization specialist)
Builds
Pharmacy dispensing workflows and medication access for patients
Domain
Healthcare / Pharmacy
Deliverable
client delivery
Required skills
Pharmacy technician licensure, prior authorization process expertise, insurance verification, EMR and dispensing software navigation, patient triage, pharmaceutical terminology knowledge
Preferred skills
PTCB or comparable national certification, bachelor's degree, 2+ years progressive pharmacy experience
Technologies
EMR systems, dispensing software, electronic communication platforms
Responsibilities
Process prescriptions and navigate EMR/dispensing systems; verify patient information and insurance coverage; complete prior authorization forms and communicate with providers/payers; triage patient inquiries to pharmacists; document patient information in charts; oversee pharmacy process continuity and policy adherence.
Seniority
Mid-level, hands-on IC