Registered Pharmacy Technician

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