Infusion For Health 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 Prior Authorization Pharmacy Technician plays a critical role in securing timely insurance approvals for specialty and infusion medications. 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 working in a specialty or infusion pharmacy and a strong understanding of insurance verification and the prior authorization process for high-cost medications.
Key Responsibilities
- Demonstrated experience with prior authorizations (PAs), insurance verification, and medication access workflows
- Proficient in using electronic health records (EHRs), pharmacy benefit tools, and prior authorization portals (e.g., CoverMyMeds etc)
- Experience collaborating with pharmacists, providers, and insurance companies to resolve access barriers and support patient adherence
- Review new infusion referrals and coordinate benefits investigation for commercial and government payers.
- Obtain and submit all necessary clinical documentation and forms to insurance companies for prior authorization requests.
- Proactively follow up with payers, providers, and internal teams to resolve any delays in the authorization process.
- Proactively follow up with payers, providers, and internal teams to resolve any delays in the authorization process.
- Document all communication and authorization statuses in pharmacy software or CRM systems.
- Maintain working knowledge of payer-specific policies for infusion therapies, including Medicare, Medicaid, and commercial plans.
QUALIFICATIONS
- At least 2 years of experience in infusion or pharmacy prior authorization is required.
- At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines.
- Organizational skills are sufficient to maintain consistently accurate records.
- Intermediate level skills in Microsoft Excel , Word, and Microsoft Outlook, and
- Certification as a Pharmacy Technician and/or hold an active Pharmacy Technician license.
Skills Required
- At least 2 years of experience in infusion or pharmacy prior authorization
- At least 2 years of experience applying Medicare, Medicaid, and managed care reimbursement guidelines
- Organizational skills sufficient to maintain consistently accurate records
- Intermediate skills in Microsoft Excel, Word, and Outlook
- Pharmacy Technician certification and/or active Pharmacy Technician license
- Experience with insurance verification and medication access workflows
- Experience using EHRs, pharmacy benefit tools, and prior authorization portals
- Experience working in a specialty or infusion pharmacy
What We Do
At Infusion for Health, we are dedicated to delivering patient-centered infusion and injection therapy for individuals living with chronic and complex conditions. We are committed to clinical excellence, affordability, and an exceptional patient experience. By offering comfortable, private suites and flexible care options, including in-home treatment, we create a more convenient and supportive alternative to traditional infusion services. Our team partners closely with physicians and health plans to streamline the infusion process, improve efficiency, and ensure every patient receives personalized, safe, and seamless care. As we continue to expand, our mission remains the same: to elevate the standard of care through compassion, innovation, and a patient-first approach.
