Remote Seasonal Pharmacy Technician — Member Care & Claims

Rightway; Tennessee; Remoto; USD 45.000 - 46.000; Part-time

Descrizione del lavoro

Rightway is seeking a Remote Seasonal Pharmacy Technician to support members, providers, and pharmacies across phone, chat, and email during peak demand. You’ll handle inquiries about benefits, claims, and clinical program enrollment while maintaining quality and compliance.

Qualifications include 1–3 years as a pharmacy technician, active certification (PTCB or NHA), and the ability to work fully remotely in FL, TX, GA, or TN.

Competenze

• Associate's or bachelor's degree preferred, or equivalent relevant work experience.
• Active National Pharmacy Technician Certification (PTCB or NHA).
• 1–3 years of experience as a pharmacy technician in a health plan, retail pharmacy, TPA, PBM contact center, mail order, or specialty pharmacy setting.
• Working knowledge of pharmacy claims adjudication, benefit design, and PBM terminology.
• Ability to work fully remote across multiple channels (phone, chat, email).

Mansioni

• Serve as a primary point of contact for members, providers, and pharmacies across phone, chat, email, and written correspondence.
• Field and resolve inquiries related to mail order, benefit design, formulary coverage, medication cost, prior authorization criteria, and claims adjudication.
• Assist network pharmacies in processing prescription claims and reviewing claims for accuracy against benefit guidelines and contract standards.
• Support clinical pharmacists with patient and provider outreach, including scheduling appointments and enrolling members in Rightway programs.
• Document interactions and resolutions within internal systems for continuity of care and compliance.
• Take ownership of issues from initial contact to final resolution, coordinating with internal teams as needed.

Conoscenze

Pharmacy technician

Customer service

Communication

Detail-oriented

Multitasking

Formazione

Associate's degree or bachelor's degree preferred

Descrizione del lavoro

Rightway is seeking a Remote Seasonal Pharmacy Technician to support members, providers, and pharmacies across phone, chat, and email during peak demand. You’ll handle inquiries about benefits, claims, and clinical program enrollment while maintaining quality and compliance.

Qualifications include 1–3 years as a pharmacy technician, active certification (PTCB or NHA), and the ability to work fully remotely in FL, TX, GA, or TN.