Job Description
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 - Position: Pharmacy Technician – Part-Time, Remote
- 20 hours per week
- Support the prior authorization process. Ensure patients receive timely access to medications and services.
Responsibilities - 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.
Requirements / Qualifications 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.
Preferred Qualifications - 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.
Engagement Details - 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
Application Process (Takes 20-30 mins to complete)- Upload resume
- AI interview based on your resume
- Submit form
Resources & Support - For details about the interview process and platform information, please check:
- For any help or support, reach out to: support@mercor.com
PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity. ,
Job Tags
Hourly pay, Part time, For contractors, Summer work, Remote work, Flexible hours,