phil - Registered Pharmacy Technician - Part-Time
Requirements
• 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. • 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.
Responsibilities
• Data entry of electronic, faxed, and verbal patient prescriptions in our pharmacy software • Verifies patient insurance coverage utilizing phone or online resources • Initiate and submit prior authorizations to insurance plans in a timely manner via payer-specific portals and vendors • Submit prior authorizations to insurance plans in a timely manner via payer-specific portals and vendors • Troubleshoots prior authorization submissions and prescription processing with health care providers utilizing phone or online resources • Working knowledge of ICD-10 codes and prescription drug names. Ensures all pertinent medical documentation is accurate and present prior to authorization submission. • Communicate with prescriber offices and insurance companies as well as coordinating with our partner pharmacies to ensure best in class care to patients • Document activities appropriately in process notes using our operating system • Ability to successfully navigate between multiple systems throughout the course of the workday, this includes but is not limited to operational software and vendor portals • Demonstrate flexibility to perform duties wherever volume deems it necessary • The most important goal here at Phil is to improve patients' medication adherence by offering a quick and effortless way for patients to get their medications on time.
Benefits
• Hourly Rate $20 – $24 per hour • Upload your resume here to autofill key application fields. • Drop your resume here! • Parsing your resume. Autofilling key fields... • or drag and drop here • I prefer not to answer • Another Gender Identity • Heterosexual / straight • Asian or Asian American • Black or African American • Hispanic or Latine • Indigenous or Native American • Native Hawaiian or Other Pacific Islander • Person with disability • Refugee or immigrant • None of the above • Decline to self-identify • Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race. • Hispanic or Latino • White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. • White • Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa. • Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands. • Asian (Not Hispanic or Latino) - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. • Asian • American Indian or Alaska Native (Not Hispanic or Latino) - A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment. • American Indian or Alaska Native • Two or More Races (Not Hispanic or Latino) - All persons who identify with more than one of the above five races. • Two or More Races • Hispanic or Latino • White (Not Hispanic or Latino) • Black or African American (Not Hispanic or Latino) • Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) • Asian (Not Hispanic or Latino) • American Indian or Alaska Native (Not Hispanic or Latino) • Two or More Races (Not Hispanic or Latino) • I identify as one or more of the classifications of protected veteran listed above • I am not a protected veteran
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