Remote Pharmacy Technician - Claims & Patient Care (Contract)

DG GLASS - Desde 2001 conectando negocios confiaveis.; Town of Florida (NY); Remote; USD 42,000 - 45,000; Full time

Job summary

DG GLASS - Desde 2001 conectando negocios confiaveis. is seeking a Pharmacy Technician for a fully remote, US-based role with exclusions for NY, CA, NJ, and WA.

The contract runs for five months, with potential conversion to perm based on performance, at approximately $21.00 per hour. The position requires an Active CPhT, three years of retail or professional pharmacy experience with claims adjudication, and call center experience.

Qualifications

• Active Certified Pharmacy Technician (CPhT) through PTCB or NHA.
• Must have 3 years of recent retail or professional pharmacy experience with working knowledge of claims adjudication.
• Must have call center experience.
• Must provide CPhT license number.
• Must submit an internet speed test | 100 MB DL
• Must have a private designated workspace.
• High school diploma or equivalent.
• Background check required.

Responsibilities

• Serve as the primary point of contact for members, providers, and pharmacies across phone, chat, email, and written/digital channels, delivering timely, accurate, and consistent service.
• Resolve inquiries related to mail order, benefit design, formulary coverage, medication costs, prior authorization criteria, and claims adjudication, while assisting network pharmacies with prescription claim processing and accuracy against benefit guidelines and contract standards.
• Support clinical pharmacists with patient and provider outreach, including appointment scheduling, clinical program enrollment, and medication adherence follow-up.
• Take ownership of member, provider, and pharmacy issues from initial contact through final resolution, coordinating with internal teams as needed and accurately documenting interactions for continuity of care, quality assurance, compliance, and operational reporting.
• Utilize AI-enabled tools and internal knowledge systems to efficiently research and resolve inquiries while fostering a collaborative, respectful, and diverse team environment and supporting additional projects and responsibilities as assigned.

Skills

Call center experience

Customer service

Education

CPhT certification

High school diploma

Tools

Claims adjudication

Job description

DG GLASS - Desde 2001 conectando negocios confiaveis. is seeking a Pharmacy Technician for a fully remote, US-based role with exclusions for NY, CA, NJ, and WA.

The contract runs for five months, with potential conversion to perm based on performance, at approximately $21.00 per hour. The position requires an Active CPhT, three years of retail or professional pharmacy experience with claims adjudication, and call center experience.