Pharmacy Technician – Prescription Routing, Claims Support

🕒 May 12

🌵 Arizona, California, +24 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

💵 $20 - $24 / hour

⏰ Full Time

🟢 Junior

💊 Pharmacist

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Phil, Inc.

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

☁️ SaaS

🧬 Biotechnology

Healthcare Insurance • SaaS • Biotechnology

Phil, Inc. is a company on a mission to simplify medication access for patients by helping them receive their medications quickly, easily, and affordably. The company offers the PhilRx Digital Hub Platform, which streamlines medication access for patients and providers, supporting retail and specialty-lite manufacturers. Phil, Inc. 's platform is designed to improve health outcomes by removing barriers and ensuring efficient medication dispensing, optimizing coverage and patient adherence, and supporting healthcare providers. Through strategic partnerships, Phil, Inc. helps maximize the value of access programs for life sciences brands, enhancing patient access and provider engagement.

📋 Description

• Troubleshooting electronic, faxed, and verbal prescriptions via routing to appropriate channels into pharmacy systems • Review and update patient insurance using payer portals and phone resources • Determining appropriate situations for a prior authorization (PAs) need via payer-specific tools; troubleshoot denials and escalations • Utilize reroute best practices for orders falling outside normal workflow, including orders with state changes, insurance exceptions, pharmacy rejections, or failed transfers • Navigate operational platforms (e.g., BestRx, Ops Dash, Partner Dash, RelayHealth, etc.) and vendor systems effectively • Follow reroute protocols for specific tags including: non-contracted pharmacies, state shipping changes, PP send-backs, transfer not received, and more • Proactively document process notes with clear routing details, claim updates, and actions taken • Communicate with partner pharmacies, provider offices, and insurance carriers to resolve issues or clarify documentation • Collaborate with At-Risk, Partner Management, and PPM teams to escalate or flag orders based on system outages, stock issues, or policy refusals • Maintain productivity in the Reroute queue even during extended call hold times (e.g., multitask during insurance calls) • Ensure all patient, prescriber, and partner communications are clear, professional, and aligned with Phil’s standards of care

🎯 Requirements

• Pharmacy Technician License in the state of residence (required) • PTCB certification (preferred) • Minimum 1 year of pharmacy technician experience, preferably in a Specialty, Mail Order, PBM (with Manufacturer and Insurance troubleshooting experience) or Retail setting. • Working Knowledge of: • - Insurance claim rejections (e.g., Reject 50/40, DUR codes, etc.) • - Prior authorizations, override codes, and split billing scenarios • - ICD-10 codes and drug classifications • - FSA/HSA card restrictions and processing nuances • - Medicaid/Medicare Experience • - Routing tools and reroute resolution logic • - Ability to work efficiently and with attention to detail, especially when handling complex re-routes • - Strong written documentation and case management skills

🏖️ Benefits

• Competitive compensation and full benefits (medical, dental, vision, etc.) • 401(k) • Hybrid work model after 90 days (in-office collaboration & remote flexibility) • Collaborative, mission-driven team culture focused on innovation and patient care