# Pharmacy Technician

**Company:** [SmithRx](https://hotfix.jobs/companies/smithrx)
**Location:** Remote
**Role:** Customer Support
**Salary:** $22 – $22/hr
**Experience:** 2+ years
**Skills:** Pharmacy Technician, Prior Authorization, Claims Adjudication, Benefit Plans, Drug Formulations, Clinical Review, Mac, Microsoft Office, Google Workspace, Critical Thinking
**Posted:** 2026-09-04

> Reviews pharmacy prior authorization requests, verifies coverage and claims information, and approves or escalates cases under established protocols. Requires an active pharmacy technician license, 2–4 years of pharmacy technician experience, and strong communication and critical-thinking skills.

## Job Description

## Responsibilities
- Verify eligibility and drug coverage under plan benefit designs for claims processing.
- Triage clinical review of prior authorization requests according to established protocols.
- Review prior authorization requests using criteria, claims history, and benefit rules; contact prescribers and pharmacies to gather required information.
- Organize and prioritize requests to ensure timely case management.
- Build and adjust authorizations in the claims adjudication system.
- Apply pharmacy technician knowledge of drug products and formulations and perform basic calculations to monitor accurate claims adjudication.
- Synthesize multiple workflows and protocols to make sound coverage decisions.
- Coordinate with internal teams and external stakeholders, address questions and escalations, and support timely medication coverage.
- Evaluate member clinical situations against medication policies and approve requests or triage them to a pharmacist for denial.
- Determine when medications require internal or external review.
- Contact select external stakeholders for approval of drugs with dollar limits.

## Requirements
- High school diploma, GED, or equivalent work experience.
- Active pharmacy technician license.
- 2–4 years of pharmacy technician experience.
- Proficiency with Mac, Microsoft Office, and Google Workspace.
- Strong critical-thinking, communication, active-listening, empathy, multitasking, prioritization, and time-management skills.
- Ability to work accurately within protocols and follow escalation pathways.

## Nice-to-haves
- 2+ years of prior authorization review experience on the approval side at a PBM or health plan.

## Compensation
- $22 per hour USD.
- Benefits may include bonuses, commissions, equity, paid time off, medical, dental, vision, mental health support, paid parental leave, life and disability insurance, and a 401(k).

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