Remote Certified Pharmacy Technician — Claims & Prior Authorizations

Gainwell Technologies LLC; Illinois; Remote; USD 42,000 - 48,000; Full time

Benefits offered by this job

Comprehensive health benefits

401(k) with company match

Flexible paid time off

Paid holidays

Wellness programs

Job summary

Gainwell Technologies LLC is seeking a Certified Pharmacy Technician to support pharmacy operations by assisting members, providers, and pharmacies with prior authorizations, claims inquiries, and benefit questions. This fast-paced role requires accuracy, regulatory compliance, and customer service excellence.

You will research and resolve claims, eligibility, and coverage issues while documenting interactions across multiple systems.

Qualifications

• Active Pharmacy Technician registration with a State Board of Pharmacy, where applicable.
• Experience supporting pharmacy operations, prior authorizations, pharmacy claims, PBM services, managed care programs, specialty pharmacy, or healthcare customer service preferred.
• Strong customer service, communication, and problem-solving skills with the ability to work effectively in a fast-paced, high-volume environment.
• Proficiency using pharmacy systems, multiple computer applications, and documentation tools while maintaining accuracy and attention to detail.

Responsibilities

• Support members, providers, and pharmacies by responding to pharmacy-related inquiries, benefit questions, prior authorization requests, and claims-related issues.
• Research and resolve pharmacy claims, eligibility, coverage, and medication-related concerns while maintaining service level expectations.
• Review, document, and process pharmacy transactions and requests in accordance with client, regulatory, and operational guidelines.
• Utilize multiple systems and resources to accurately investigate issues, provide resolutions, and maintain complete documentation.
• Collaborate with internal teams, healthcare professionals, and external stakeholders to support quality service delivery and member satisfaction.

Skills

Customer service

Communication

Problem solving

Attention to detail

Education

Pharmacy Technician registration

Tools

Pharmacy systems

Multiple computer applications

Job description

Gainwell Technologies LLC is seeking a Certified Pharmacy Technician to support pharmacy operations by assisting members, providers, and pharmacies with prior authorizations, claims inquiries, and benefit questions. This fast-paced role requires accuracy, regulatory compliance, and customer service excellence.

You will research and resolve claims, eligibility, and coverage issues while documenting interactions across multiple systems.