Pharmacy Technician – Prescription Routing & Claims Support

Job description

PHIL is looking for a full-time Pharmacy Technician Monday through Friday shifts. Company Overview: Founded in 2015, Phil is a San Francisco-based, Series D health-tech startup that is revolutionizing prescription access by streamlining how doctors, pharmacies, and patients interact. Through our end-to-end B2B2C platform, we enable affordable, timely, and efficient access to therapies, enhancing patient adherence and improving health outcomes. Our work empowers pharma manufacturers to innovate while delivering best-in-class care experiences across the healthcare ecosystem. Our mission-driven team is made up of diverse individuals passionate about technology, healthcare, and patient wellbeing. If you're eager to help transform a legacy industry through smart systems and human-centered solutions, we want to hear from you. Position Overview: Title: Pharmacy Technician Location: Remote Fully remote working environment available in the following states: AZ, CA, CO, FL, GA, IA, ID, IL, IN, MA, MI, MO, NC, NH, NJ, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV Hours: Monday – Friday, 6:00 am – 7:00 pm MST (flexibility for early and late shifts required) Compensation: $20–$24/hour (commensurate with experience) Status: Full-time Reports To: Operations/Pharmacy Team Leads Phil is seeking a detail-oriented, self-motivated Pharmacy Technician to join our growing team. You will play a key role in supporting the full prescription lifecycle; including insurance verification, troubleshooting prescription reroutes, and communicating directly with partners and prescribers. This role requires strong decision-making, communication, and multitasking abilities to ensure efficient order resolution and best-in-class patient care. Primary Responsibilities: - Troubleshooting electronic, faxed, and verbal prescriptions via routing to appropriate channels into pharmacy systems - Review and update patient insurance using payer portals and phone resources - Determining appropriate situations for a prior authorization (PAs) need via payer-specific tools; troubleshoot denials and escalations - Utilize reroute best practices for orders falling outside normal workflow, including orders with state changes, insurance exceptions, pharmacy rejections, or failed transfers - Navigate operational platforms (e.g., BestRx, Ops Dash, Partner Dash, RelayHealth, etc.) and vendor systems effectively - Follow reroute protocols for specific tags including: non-contracted pharmacies, state shipping changes, PP send-backs, transfer not received, and more - Proactively document process notes with clear routing details, claim updates, and actions taken - Communicate with partner pharmacies, provider offices, and insurance carriers to resolve issues or clarify documentation - Collaborate with At-Risk, Partner Management, and PPM teams to escalate or flag orders based on system outages, stock issues, or policy refusals - Maintain productivity in the Reroute queue even during extended call hold times (e.g., multitask during insurance calls) - Ensure all patient, prescriber, and partner communications are clear, professional, and aligned with Phil’s standards of care About You: - You thrive in a fast-paced, evolving startup environment and remain composed under pressure - You're passionate about helping patients access necessary medications - You are tech-savvy, comfortable toggling between multiple software systems and navigating insurance workflows - You’re a strong communicator, able to write succinct internal notes and speak clearly with external stakeholders - You’re self-driven but collaborative; you seek clarity, ask smart questions, and take initiative - You take pride in accuracy and process adherence, especially when rerouting orders or resolving insurance mismatches Qualifications - Pharmacy Technician License in the state of residence(required) - PTCB certification (preferred) - Minimum 1 year of pharmacy technician experience, preferably in a Specialty, Mail Order, PBM (with Manufacturer and Insurance troubleshooting experience) or Retail setting. Working Knowledge of - Insurance claim rejections (e.g., Reject 50/40, DUR codes, etc.) - Prior authorizations, override codes, and split billing scenarios - ICD-10 codes and drug classifications - FSA/HSA card restrictions and processing nuances - Medicaid/Medicare Experience - Routing tools and reroute resolution logic - Ability to work efficiently and with attention to detail, especially when handling complex re-routes - Strong written documentation and case management skills Why Join Phil - Ground-floor opportunity in one of the fastest-growing health-tech startups - Help modernize prescription access for real-world impact - Competitive compensation and full benefits (medical, dental, vision, etc.) - 401(k) - Hybrid work model after 90 days (in-office collaboration & remote flexibility) - Collaborative, mission-driven team culture focused on innovation and patient care