Pharmacy Tech - Patient Access & Claims Specialist

CornerStone Staffing; Las Vegas (NV); On-site; USD 30,000 - 32,000; Full time

Job summary

CornerStone Staffing in Las Vegas, NV is seeking a Pharmacy Tech - Patient Service Representative to support medication access by resolving claims, benefits, eligibility, and prior authorizations. This on-site role collaborates with pharmacies, providers, and patients to resolve coverage issues accurately while complying with HIPAA and regulatory requirements.

The ideal candidate has an active Pharmacy Technician license, 2 years of experience in retail or PBM, and a commitment to precise

Qualifications

• Active Pharmacy Technician License.
• Certification through PTCB or NHA required within 6 months of conversion.
• High School Diploma or GED.
• Minimum 2 years of pharmacy technician experience in retail, hospital, mail order, PBM, or healthcare operations.

Responsibilities

• Assist inbound inquiries related to pharmacy claims, benefits, eligibility, and prior authorizations.
• Research and resolve pharmacy claim rejections, third-party billing issues, coverage discrepancies, formulary requirements, and plan details.
• Accurately document customer interactions and case activity within internal systems.
• Support customers through phone, email, and chat while meeting quality and productivity expectations.
• Escalate clinical questions and complex issues to licensed pharmacists or appropriate teams while maintaining HIPAA compliance.

Skills

Pharmacy claims processing

Benefit verification

Prior authorization support

HIPAA compliance

Education

High School Diploma or GED

Job description

CornerStone Staffing in Las Vegas, NV is seeking a Pharmacy Tech - Patient Service Representative to support medication access by resolving claims, benefits, eligibility, and prior authorizations. This on-site role collaborates with pharmacies, providers, and patients to resolve coverage issues accurately while complying with HIPAA and regulatory requirements.

The ideal candidate has an active Pharmacy Technician license, 2 years of experience in retail or PBM, and a commitment to precise