About the role
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 (Required)
- Nationally Certified Pharmacy Technician PTCB or CPhT (Required)
- 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
- 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
Text as published by PHIL. We don't edit postings; apply and ask questions on the employer's site.