The job in short
Remote pharmacy technician handling prescription processing, insurance verification and prior authorizations.
PharmacyClinicalInsuranceCompliance
Details
- Found
- 22 d ago · posted 2026-05-08
- Location as listed
- Remote
- Role
- Pharmacy Technician
- Source
- The company’s own careers site
Full 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
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Process and enter electronic, faxed, and verbal prescription orders within pharmacy systems.
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Review, verify, and update patient insurance information using payer portals and phone resources.
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Determine when prior authorizations are required and submit authorization requests through payer-specific portals and vendor platforms.
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Monitor, track, and troubleshoot prior authorization requests, claim rejections, denials, and escalations.
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Resolve prescription processing issues by coordinating with provider offices, insurance carriers, and pharmacy partners.
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Route and reroute prescriptions appropriately based on insurance requirements, pharmacy network restrictions, state regulations, transfer issues, and operational workflows.
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Review clinical documentation for completeness and accuracy prior to authorization submission.
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Navigate multiple pharmacy, operational, and vendor systems simultaneously while maintaining productivity and accuracy.
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Document all activities, communications, and case updates thoroughly within company systems.
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Collaborate with internal teams to address patient access barriers, pharmacy inventory issues, system outages, and other operational challenges.
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Communicate professionally with prescribers, pharmacies, insurance carriers, and internal stakeholders to ensure timely resolution of issues.
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Follow established workflows, quality standards, and compliance requirements while maintaining productivity expectations.
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Support additional operational functions as business needs require.
Required Qualifications
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Active Pharmacy Technician license in state of residence (Required)
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Nationally Certified Pharmacy Technician PTCB or CPhT (Required)
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Minimum one year of experience as a Pharmacy Technician in a retail, specialty, mail-order, PBM, or healthcare-related environment.
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Experience with prescription processing, insurance verification, claims resolution, prior authorizations, or medication access support.
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Strong understanding of pharmacy operations and prescription workflows.
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Ability to navigate multiple software systems, payer portals, and operational platforms simultaneously.
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Strong written and verbal communication skills.
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Excellent organizational skills with strong attention to detail and accuracy.
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Ability to work independently while contributing effectively within a collaborative team environment.
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Reliable high-speed internet connection and dedicated remote workspace.
Preferred Qualifications
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Experience with specialty pharmacy, manufacturer support programs, or patient access services.
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Working knowledge of:
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Insurance claim rejections and override processes
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Prior authorizations and appeals
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ICD-10 codes and prescription drug terminology
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Medicare, Medicaid, and commercial insurance plans
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Pharmacy claims adjudication and reimbursement processes
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FSA/HSA payment considerations
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Customer service or patient support experience.
Success Factors
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Passion for helping patients access critical medications.
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Ability to thrive in a fast-paced and evolving environment.
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Strong problem-solving and critical-thinking skills.
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Self-motivated, dependable, and adaptable.
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Excellent multitasking and time-management abilities.
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Commitment to accuracy, process adherence, and exceptional service.
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Professional and collaborative approach when working with internal and external stakeholders.
Why Join PHIL
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Gain a ground-floor opportunity at one of the most rapidly expanding startups within the health-tech sector.
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Address meaningful challenges by joining a team that utilizes innovative technology to enhance wellness for all stakeholders.
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Receive competitive compensation that is aligned with your professional experience and background.
PHIL Inc is an equal opportunity employer
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