Registered Pharmacy Technician

Job description

# **Pharmacy Technician - Full-Time** **Location:** Remote available in the following states: AZ, CA, CO, FL, GA, IA, ID, IL, IN, KY, MA, MI, MO, NC, NH, NJ, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV ## **Position Overview** At PHIL, our mission is to improve medication adherence by making it simple and seamless for patients to receive their prescribed therapies. The Seasonal Pharmacy Technician plays a critical role in supporting prescription processing, insurance verification, claims resolution, prior authorizations, and pharmacy routing activities that help patients gain timely access to medications. The ideal candidate is detail-oriented, tech-savvy, and experienced in navigating pharmacy operations, insurance workflows, and medication access processes within a fast-paced remote environment. ## **Key Responsibilities** - Process and enter electronic, faxed, and verbal prescription orders within pharmacy systems. - Review, verify, and update patient insurance information using payer portals and phone resources. - Determine when prior authorizations are required and submit authorization requests through payer-specific portals and vendor platforms. - Monitor, track, and troubleshoot prior authorization requests, claim rejections, denials, and escalations. - Resolve prescription processing issues by coordinating with provider offices, insurance carriers, and pharmacy partners. - Route and reroute prescriptions appropriately based on insurance requirements, pharmacy network restrictions, state regulations, transfer issues, and operational workflows. - Review clinical documentation for completeness and accuracy prior to authorization submission. - Navigate multiple pharmacy, operational, and vendor systems simultaneously while maintaining productivity and accuracy. - Document all activities, communications, and case updates thoroughly within company systems. - Collaborate with internal teams to address patient access barriers, pharmacy inventory issues, system outages, and other operational challenges. - Communicate professionally with prescribers, pharmacies, insurance carriers, and internal stakeholders to ensure timely resolution of issues. - Follow established workflows, quality standards, and compliance requirements while maintaining productivity expectations. - Support additional operational functions as business needs require. ## **Required Qualifications** - Active Pharmacy Technician license in state of residence. - Minimum one year of experience as a Pharmacy Technician in a retail, specialty, mail-order, PBM, or healthcare-related environment. - Experience with prescription processing, insurance verification, claims resolution, prior authorizations, or medication access support. - Strong understanding of pharmacy operations and prescription workflows. - Ability to navigate multiple software systems, payer portals, and operational platforms simultaneously. - Strong written and verbal communication skills. - Excellent organizational skills with strong attention to detail and accuracy. - Ability to work independently while contributing effectively within a collaborative team environment. - Reliable high-speed internet connection and dedicated remote workspace. ## **Preferred Qualifications** - PTCB Certification (preferred) - Experience with specialty pharmacy, manufacturer support programs, or patient access services. - Working knowledge of: - Insurance claim rejections and override processes - Prior authorizations and appeals - ICD-10 codes and prescription drug terminology - Medicare, Medicaid, and commercial insurance plans - Pharmacy claims adjudication and reimbursement processes - FSA/HSA payment considerations - Customer service or patient support experience. ## **Success Factors** - Passion for helping patients access critical medications. - Ability to thrive in a fast-paced and evolving environment. - Strong problem-solving and critical-thinking skills. - Self-motivated, dependable, and adaptable. - Excellent multitasking and time-management abilities. - Commitment to accuracy, process adherence, and exceptional service. - Professional and collaborative approach when working with internal and external stakeholders. ## **Why Join PHIL** - Gain a ground-floor opportunity at one of the most rapidly expanding startups within the health-tech sector. - Address meaningful challenges by joining a team that utilizes innovative technology to enhance wellness for all stakeholders. - Receive competitive compensation that is aligned with your professional experience and background. PHIL Inc is an equal opportunity employer