Pharmacy Technician – Prescription Routing & Claims Support

PHIL; United States; Remote; USD 27,552 - 33,062; Full time

Benefits offered by this job

401(k)

Medical, dental, vision benefits

Hybrid work model

Job summary

A health-tech startup is seeking a full-time Pharmacy Technician. This remote role requires troubleshooting prescriptions, insurance verification, and clear communication. Candidates should have a Pharmacy Technician License and at least one year of pharmacy experience. Benefits include competitive compensation, medical coverage, and a hybrid work model. Join our mission-driven team focused on improving patient access to medications.

Qualifications

• Minimum 1 year of pharmacy technician experience in specialty, mail-order, PBM, or retail.
• PTCB certification preferred.
• Pharmacy Technician License in the state of residence is required.

Responsibilities

• Troubleshoot prescriptions by routing them appropriately.
• Review patient insurance using payer portals.
• Communicate with pharmacies and insurers to resolve issues.
• Document process notes with necessary details.
• Maintain productivity during extended call hold times.

Skills

Patient communication

Tech-savvy

Attention to detail

Multitasking

Process adherence

Education

Pharmacy Technician License

Tools

BestRx

Ops Dash

Partner Dash

RelayHealth

Job description

PHIL is looking for a full‑time Pharmacy Technician.

Monday through Friday shifts.

Company Overview

Founded in 2015, Phil is a San Francisco‑based, Series D health‑tech startup that is revolutionizing prescription access by streamlining how doctors, pharmacies, and patients interact.

Through our end‑to‑end B2B2C platform, we enable affordable, timely, and efficient access to therapies, enhancing patient adherence and improving health outcomes.

Our mission‑driven team is made up of diverse individuals passionate about technology, healthcare, and patient wellbeing.

Position Overview

Title: Pharmacy Technician
Location: Remote (fully 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

• Troubleshoot electronic, faxed, and verbal prescriptions by routing to appropriate channels into pharmacy systems.
• Review and update patient insurance using payer portals and phone resources.
• Determine appropriate situations for a prior authorization (PA) 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 (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 elevate 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.

Benefits

• Competitive compensation and full benefits (medical, dental, vision, etc.).
• 401(k).
• Hybrid work model after 90 days (in‑office collaboration & remote flexibility).