Remote Pharmacy Technician — Insurance & Access Specialist

PHIL; United States; Remote; USD 42,000 - 56,000; Full time

Job summary

PHIL is seeking a Pharmacy Technician to support remote prescription processing, insurance verification, and prior authorizations across multiple states. You will collaborate with pharmacies, providers, and payers to ensure timely access to medications and maintain accurate documentation.

The ideal candidate is detail-oriented, tech-savvy, and experienced with pharmacy operations in a fast-paced remote environment, with a valid state license and strong communication skills.

Qualifications

• Active Pharmacy Technician license in state of residence.
• Minimum one year of experience as a Pharmacy Technician in a retail, specialty, mail-order, PBM, or healthcare-related environment.
• Experience with prescription processing, insurance verification, claims resolution, prior authorizations, or medication access support.
• Strong understanding of pharmacy operations and prescription workflows.
• Ability to navigate multiple software systems, payer portals, and operational platforms simultaneously.
• Strong written and verbal communication skills.
• Excellent organizational skills with strong attention to detail and accuracy.
• Ability to work independently while contributing effectively within a collaborative team environment.
• Reliable high-speed internet connection and dedicated remote workspace.

Responsibilities

• Process and enter electronic, faxed, and verbal prescription orders within pharmacy systems.
• Review, verify, and update patient insurance information using payer portals and phone resources.
• Determine when prior authorizations are required and submit authorization requests through payer-specific portals and vendor platforms.
• Monitor, track, and troubleshoot prior authorization requests, claim rejections, denials, and escalations.
• Resolve prescription processing issues by coordinating with provider offices, insurance carriers, and pharmacy partners.
• Route and reroute prescriptions appropriately based on insurance requirements, pharmacy network restrictions, state regulations, transfer issues, and operational workflows.
• Review clinical documentation for completeness and accuracy prior to authorization submission.
• Navigate multiple pharmacy, operational, and vendor systems simultaneously while maintaining productivity and accuracy.
• Document all activities, communications, and case updates thoroughly within company systems.
• Collaborate with internal teams to address patient access barriers, pharmacy inventory issues, system outages, and other operational challenges.
• Communicate professionally with prescribers, pharmacies, insurance carriers, and internal stakeholders to ensure timely resolution of issues.
• Follow established workflows, quality standards, and compliance requirements while maintaining productivity expectations.
• Support additional operational functions as business needs require.

Skills

Communication skills

Detail-oriented

Independent work

Time management

Multitasking

Education

Pharmacy Technician license

PTCB Certification (preferred)

Job description

PHIL is seeking a Pharmacy Technician to support remote prescription processing, insurance verification, and prior authorizations across multiple states. You will collaborate with pharmacies, providers, and payers to ensure timely access to medications and maintain accurate documentation.

The ideal candidate is detail-oriented, tech-savvy, and experienced with pharmacy operations in a fast-paced remote environment, with a valid state license and strong communication skills.