Pharmacy Technician
Mercor
Contract
Software Development
Canada
Hiring from: Canada
Company Introduction
Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.
Role Overview
Must-Have Qualifications
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Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.
Role Overview
- Position: Pharmacy Technician – Part-Time, Remote
- 20 hours per week
- Support the prior authorization process. Ensure patients receive timely access to medications and services.
- Manage Prior Authorizations: Prepare, submit, and track requests for medications, procedures, and equipment per payer requirements.
- Coordinate Communication: Liaise with healthcare providers, insurance companies, and patients to expedite approvals.
- Insurance Verification: Confirm eligibility, benefits, and coverage criteria before initiating the PA process.
- Documentation & Tracking: Maintain accurate records of all PA submissions, approvals, denials, and appeals using EMR or pharmacy systems.
- Handle Denials & Appeals: Assist with resubmissions and appeals, providing additional clinical information or coordinating peer-to-peer reviews.
- Compliance: Ensure adherence to HIPAA regulations and payer policies while maintaining patient confidentiality.
Must-Have Qualifications
- Active Pharmacy Technician Certification (CPhT) or applicable state license.
- 1–3 years of experience in a pharmacy, insurance, or healthcare setting with a focus on prior authorizations.
- In-depth understanding of insurance plans, formularies, and medical necessity criteria.
- Proficiency in EHR/EMR systems, pharmacy benefit manager (PBM) platforms, and payer portals.
- Strong communication, multitasking, and organizational skills.
- Ability to work independently and manage a 20-hour flexible weekly schedule.
- Experience in specialty pharmacy or managed care environments.
- Familiarity with Medicare Part D, Medicaid, and commercial insurance guidelines.
- Knowledge of high-cost or specialty medications requiring complex prior authorization.
- Part-Time: 20 hours per week
- Flexible scheduling within standard business hours
- Potential for increased hours based on workload and performance
- Hourly Contractor at Mercor
- Upload resume
- AI interview based on your resume
- Submit form
- For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome/welcome
- For any help or support, reach out to: [email protected]
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