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