Remote Pharmacy Benefits Verifications Specialist

ManpowerGroup

Malvern (OH)

Hybrid

USD 26,000 - 36,000

Full time

14 days+

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Benefits offered by this job

Hybrid work environment
Medical and Prescription Drug Plans
Dental Plan
Short Term Disability Insurance
401(k)

Job summary

ManpowerGroup is seeking a detail-oriented Pharmacy Benefits Verification Technician to support members, providers, and insurers by verifying benefits and processing prescription claims. This role requires state-licensed and nationally certified pharmacy technician credentials and thrives in a collaborative, fast-paced healthcare environment.

Locations include North Canton, OH, with a hybrid schedule (primarily remote, 1-2 days per month in person).

Qualifications

  • High School Diploma or equivalent.
  • Active State Pharmacy Technician license (Ohio).
  • National certification (PTCB or NHA).
  • 1–2+ years of pharmacy experience in PBM/managed care.
  • Strong communication, documentation, and problem-solving skills.
  • Experience with claims adjudication and secondary billing.
  • Familiarity with Medicaid and discount card processing.

Responsibilities

  • Verify insurance eligibility and benefits via outbound calls and follow-ups.
  • Resolve prescription and claims issues for timely adjudication.
  • Coordinate with PBM services to support accurate billing.
  • Assist pharmacists and internal teams with audits and compliance reviews.
  • Document all correspondence and resolutions per payer/regulatory requirements.

Skills

Communication skills
Documentation skills
Problem-solving

Education

High School Diploma or equivalent
State Pharmacy Technician license (Ohio)
National certification (PTCB or NHA)

Job description

ManpowerGroup is seeking a detail-oriented Pharmacy Benefits Verification Technician to support members, providers, and insurers by verifying benefits and processing prescription claims. This role requires state-licensed and nationally certified pharmacy technician credentials and thrives in a collaborative, fast-paced healthcare environment.

Locations include North Canton, OH, with a hybrid schedule (primarily remote, 1-2 days per month in person).

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