Pharmacy Technician – Prescription Routing & Claims Support

PHIL, Inc.; San Francisco (CA); On-site; USD 27,552 - 33,062; Full time

Benefits offered by this job

Competitive compensation

Full benefits (medical, dental, vision)

401(k)

Hybrid work model after 90 days

Job summary

A fast-growing health-tech startup is seeking a full-time Pharmacy Technician to troubleshoot prescriptions, communicate with insurance carriers, and maintain productivity. Candidates need a Pharmacy Technician License and at least 1 year of experience, preferably in a Specialty or Retail setting. The role offers competitive compensation, full benefits, and the opportunity for hybrid work after 90 days. Join a mission-driven team focused on modernizing prescription access and ensuring patient care.

Qualifications

• Pharmacy Technician License in the state of residence is required.
• A minimum of 1 year of pharmacy technician experience is preferred.
• PTCB certification is preferred.

Responsibilities

• Troubleshoot electronic, faxed, and verbal prescriptions.
• Review and update patient insurance using payer portals.
• Communicate with partner pharmacies and insurance carriers.

Skills

Pharmacy Technician License in the state of residence

Strong communication skills

Attention to detail

Insurance troubleshooting experience

Tech-savvy

Education

Pharmacy Technician Certification Board (PTCB) certification

Tools

BestRx

Ops Dash

RelayHealth

Job description

PHIL is looking for a full-time Pharmacy Technician. Monday through Friday shifts.

Position Overview

Title: Pharmacy Technician

Location: Remote (available in AZ, CA, CO, FL, GA, IA, ID, IL, IN, MA, MI, MO, NC, NH, NJ, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV)

Hours: Monday – Friday, 6:00 am – 7:00 pm MST (flexibility for early and late shifts required)

Compensation: $20–$24/hour (commensurate with experience)

Status: Full-time

Reports To: Operations/Pharmacy Team Leads

Primary Responsibilities

• 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 escalation 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

About You

• You thrive in a fast-paced, evolving startup environment and remain composed under pressure
• You're passionate about helping patients access necessary medications
• You are tech‑savvy, comfortable toggling between multiple software systems and navigating insurance workflows
• You're a strong communicator, able to write succinct internal notes and speak clearly with external stakeholders
• You're self-driven but collaborative; you seek clarity, ask smart questions, and take initiative
• You take pride in accuracy and process adherence, especially when rerouting orders or resolving insurance mismatches

Qualifications

• 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

Why Join Phil

• Ground‑floor opportunity in one of the fastest‑growing health‑tech startups
• Help modernize prescription access for real‑world impact
• 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