Job Detail

Join Our Team as a Pharmacy Technician in Riverside, California

About Us: Infusion for Health is a premier, referral-based infusion center serving patients across California, Arizona, Nevada, Washington, Colorado, and Missouri. Our unique centers feature private, comfortable rooms for a personalized patient experience. We are committed to delivering exceptional infusion therapy in a patient-focused, compassionate environment, supported by a team of skilled professionals.

What We Offer:

Key Responsibilities:

• 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.
• Communicate approval or denial outcomes to patients, prescribers, and pharmacy staff.
• Collaborate with clinical and billing teams to escalate issues related to denied or delayed authorizations.
• 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.
• Monitor and track prior authorization expirations and initiate reauthorization processes as needed.
• Provide exceptional customer service while managing high call and task volumes.
• 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 is required.
• At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines.
• Ability to effectively handle multiple priorities within a changing environment, emphasizing paperless workflow.
• Experience in diagnosing, isolating, and resolving complex issues and recommending and implementing strategies to resolve problems.
• Organizational skills are sufficient to maintain consistently accurate records.
• Intermediate level skills in Microsoft Excel & Word.
• Computer skills that include proficiency with spreadsheets and use of the internet, as well as word processing, and efficient use of the internet and e-mail.
• Certification as a Pharmacy Technician (preferred) and/or hold an active Pharmacy Technician license.
• Current knowledge of all applicable state and federal pharmacy laws, rules, and regulations