Orphan Meds Pharmacy Tech – Claims & PA (Contract)

Actalent; Cary (NC); On-site; USD 46,000 - 50,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Short and long-term disability

Health Spending Account (HSA)

Transportation benefits

Employee Assistance Program

Time Off/Leave (PTO, Vacation or Sick)

Job summary

Actalent in Cary, NC is seeking a dedicated Pharmacy Technician focused on rare orphan medications. You will process insurance information, adjudicate claims, manage patient communications, and ensure timely delivery of medications.

The role operates in a call center style environment, with hours Monday–Friday 9am–6pm. It is on-site with potential for a hybrid schedule if permanent, plus a comprehensive benefits package.

Qualifications

• Pharmacy technician certification.
• Minimum 2 years of pharmacy operations experience.
• Experience in data entry and customer service.
• NC Registered (NCBOP) preferred.
• High School Diploma required.
• Prior experience in a pharmacy setting preferred.
• Healthcare experience preferred.

Responsibilities

• Locate and enter accurate prescription insurance information on patient profiles by processing eligibility checks and adjudicating pharmacy claims.
• Adjudicate claims and troubleshoot rejections to communicate correct information to patients.
• Communicate the need for medication prior authorization to providers and act as a resource during the PA process.
• Manage inbound calls from patients, clients, physicians, practitioners, and clinics regarding inquiries about order status, services provided, and financial support options.
• Serve as a technical resource for adjudication while identifying areas for improvement.
• Enter detailed, accurate, and grammatically correct progress notes for proper documentation on patient profiles.
• Contact patients to schedule medication delivery and payment, ensuring accurate information in their profiles for timely distribution.
• Manage patient refill coordination and follow-up to ensure adherence to therapy plans.
• Identify and report adverse events and product complaints to clinicians for patient safety.

Skills

Pharmacy tech cert

2+ years experience

Data entry

NC registered

Education

High School Diploma

Job description

Actalent in Cary, NC is seeking a dedicated Pharmacy Technician focused on rare orphan medications. You will process insurance information, adjudicate claims, manage patient communications, and ensure timely delivery of medications.

The role operates in a call center style environment, with hours Monday–Friday 9am–6pm. It is on-site with potential for a hybrid schedule if permanent, plus a comprehensive benefits package.