Remote MS Pharmacy Technician - PBM Claims & Support

Gainwell Technologies LLC; Ohio; Remote; USD 31,000 - 45,000; Full time

Benefits offered by this job

401(k) match

Health benefits

Educational assistance

Flexible vacation policy

Job summary

Gainwell Technologies is seeking a Pharmacy Technician to support our PBM clinical and technical call center in a fully remote role for Mississippi residents. You will combine pharmacy knowledge with call-center operations to assist members, medical providers, and pharmacy providers with pharmacy benefits, claims, and prior authorization inquiries.

Responsibilities include researching claim statuses, documenting interactions, and guiding inquiries via phone, fax, email, or web.

Qualifications

• Active Mississippi Pharmacy Technician registration required.
• Approximately 3 years of Pharmacy Technician experience in retail, hospital, PBM, managed care, or similar.
• Reside in Mississippi and work in a remote role.
• Experience with pharmacy claims, prior authorizations, prescription benefits, medication terminology, and member/provider support.

Responsibilities

• Support members, medical providers, and pharmacy providers with pharmacy benefits, claims, and prior authorization inquiries.
• Research claim status and rejection reasons and determine appropriate next steps.
• Document interactions accurately and assist inquiries via phone, fax, email, web, or other channels.

Skills

Pharmacy knowledge

Customer service

Communication

Computer skills

Organization

Multitasking

Independent work

Job description

Gainwell Technologies is seeking a Pharmacy Technician to support our PBM clinical and technical call center in a fully remote role for Mississippi residents. You will combine pharmacy knowledge with call-center operations to assist members, medical providers, and pharmacy providers with pharmacy benefits, claims, and prior authorization inquiries.

Responsibilities include researching claim statuses, documenting interactions, and guiding inquiries via phone, fax, email, or web.