Experienced Pharmacy Technician - Career Growth Opportunities

Full job description

Prosper Infusion

• is dedicated to serving patients with autoimmune disorders and complex chronic conditions through exceptional infusion therapy. Our mission is to provide a
• patient-focused environment
• that emphasizes professional care, compassion, and collaboration to ensure optimal treatment outcomes.
• The Pharmacy Technician plays a critical role in
• securing timely insurance approvals for specialty and infusion medications

,

processing and filling prescriptions, and preparing medications for delivery

. This position ensures that all required documentation is obtained and submitted to payers to facilitate patient access to therapy. The ideal candidate will have experience in a specialty or infusion pharmacy and a strong understanding of insurance verification, the prior authorization process, and medication fulfillment workflows for high-cost therapies.

This position is

full-time, Monday to Friday

.

Key Responsibilities

• Obtain and submit all necessary clinical documentation and forms to insurance companies for prior authorization requests.
• Process and fill prescriptions and pack medications for delivery, ensuring accuracy, compliance, and timely shipment.
• Review new infusion referrals and coordinate benefits investigations for commercial and government payers.
• Proactively follow up with payers, providers, and internal teams to resolve any delays in the authorization process.
• Communicate approval or denial outcomes to patients, prescribers, and pharmacy staff.
• Collaborate with clinical and billing teams to address issues related to denied or delayed authorizations.
• Document all communications and authorization statuses in pharmacy software or CRM systems.
• Maintain a working knowledge of payer-specific policies for infusion therapies, including Medicare, Medicaid, and commercial plans.
• Monitor and track prior authorization expirations and initiate reauthorization processes as needed
• Process, fill, and package prescriptions for delivery while ensuring accuracy and compliance with all regulations.
• Provide exceptional customer service while managing a high volume of calls and tasks.
• Stay up to date on regulatory and payer changes impacting the prior authorization process.

QUALIFICATIONS

• At least
• 2 years of experience
• in infusion or pharmacy prior authorization required.
• At least
• 2 years of experience
• applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines.

Experience with

• prescription processing, fulfillment, and packaging for delivery
• preferred.
• Ability to effectively manage multiple priorities in a dynamic, paperless environment.
• Proficiency with computer systems, including spreadsheets, word processing, internet research, and email communication.

Active Pharmacy Technician License

• required.
• Current knowledge of all applicable state and federal pharmacy laws, rules, and regulations.