Pharmacy Technician

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 requests through payer-specific portals
• Monitor, track, and troubleshoot prior authorization requests, claim rejections, and denials
• Resolve prescription processing issues by coordinating with provider offices, insurance carriers, and pharmacy partners
• Route and reroute prescriptions based on insurance requirements, pharmacy network restrictions, and state regulations
• Document all activities, communications, and case updates thoroughly within company systems
• Communicate professionally with prescribers, pharmacies, and insurance carriers

Requirements

• Active Pharmacy Technician license in state of residence
• Minimum one year of experience as a Pharmacy Technician in retail, specialty, mail-order, PBM, or healthcare environment
• Experience with prescription processing, insurance verification, claims resolution, or prior authorizations
• Strong understanding of pharmacy operations and prescription workflows
• Ability to navigate multiple software systems and payer portals simultaneously
• Reliable high-speed internet connection and dedicated remote workspace

Preferred Qualifications

• PTCB Certification
• Experience with specialty pharmacy, manufacturer support programs, or patient access services
• Working knowledge of insurance claim rejections, prior authorizations, and appeals
• Knowledge of ICD-10 codes and prescription drug terminology
• Familiarity with Medicare, Medicaid, and commercial insurance plans

About the Company

PHIL is a health-tech startup on a mission to improve medication adherence by making it simple and seamless for patients to receive their prescribed therapies.