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Pharmacy Technician – Prescription Routing & Claims Support

PHIL

RemoteRemoteFull-time$20–24/hrPosted 4mo agoVerified open 5 days ago

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At a glance

Compensation
$20–24/hr
Location
RemoteRemote
Schedule
Full-time
Work Authorization
Not specified

Requirements

Credentials this posting asks for.

Pharmacy Technician License In State Of ResidencePTCB Certification

Job overview

PHIL is hiring a Pharmacy Technician – Prescription Routing & Claims Support. Phil seeks a detail‑oriented, self‑motivated Pharmacy Technician to support the full prescription lifecycle, handling insurance verification, troubleshooting reroutes, and communicating with partners and prescribers in a fast‑paced health‑tech startup environment.

Key focus areas include Troubleshoot electronic, faxed, and verbal prescriptions via routing to appropriate channels, Review and update patient insurance using payer portals and phone resources, and Determine appropriate prior authorization needs and troubleshoot denials and escalations.

Successful candidates bring Pharmacy Technician License In State Of Residence, 1 Year Of Pharmacy Technician Experience, and PTCB Certification. Important skills include Decision-Making, Communication, Multitasking, Troubleshooting Electronic, Faxed, And Verbal Prescriptions, Review And Update Patient Insurance, and Determine Prior Authorization Needs.

Skills & qualifications

RequiredNice to have

Skills

Decision-MakingCommunicationMultitaskingTroubleshooting Electronic, Faxed, and Verbal PrescriptionsReview and Update Patient InsuranceDetermine Prior Authorization NeedsTroubleshoot Denials and EscalationsUtilize Reroute Best PracticesBestRxOps DashPartner DashRelayHealthProactively Document Process NotesCollaborate With at-Risk, Partner Management, and PPM TeamsMaintain Productivity in Reroute QueueTech-SavvyNavigate Insurance WorkflowsSelf-DrivenCollaborativeAccuracyProcess AdherenceInsurance Claim RejectionsPrior AuthorizationsOverride CodesSplit Billing ScenariosICD-10 CodesDrug ClassificationsFSA/HSA Card Restrictions and Processing NuancesMedicaid/Medicare ExperienceRouting Tools and Reroute Resolution LogicAttention to DetailStrong Written DocumentationCase Management SkillsPrior Authorization DeterminationReroute Best PracticesVendor Systems NavigationReroute ProtocolsDocument Process NotesToggling Between Multiple Software SystemsNavigating Insurance WorkflowsStrong CommunicatorReject 50/40DUR CodesFSA/HSA Card Restrictions and ProcessingRouting ToolsReroute Resolution LogicWork EfficientlyFollow Reroute ProtocolsCommunicate With Partner Pharmacies, Provider Offices, and Insurance CarriersEnsure Clear, Professional Patient, Prescriber, and Partner CommunicationsSeek ClarityAsk Smart QuestionsTake InitiativeFSA/HSA Card RestrictionsFSA/HSA Processing Nuances

Qualifications

Pharmacy Technician License in State of Residence1 Year of Pharmacy Technician ExperiencePTCB Certification

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
401(k) Match

Full job description

PHIL is looking for a full-time Pharmacy Technician

Monday through Friday shifts.

Company Overview: Founded in 2015, Phil is a San Francisco-based, Series D health-tech startup that is revolutionizing prescription access by streamlining how doctors, pharmacies, and patients interact. Through our end-to-end B2B2C platform, we enable affordable, timely, and efficient access to therapies, enhancing patient adherence and improving health outcomes. Our work empowers pharma manufacturers to innovate while delivering best-in-class care experiences across the healthcare ecosystem. Our mission-driven team is made up of diverse individuals passionate about technology, healthcare, and patient wellbeing. If you're eager to help transform a legacy industry through smart systems and human-centered solutions, we want to hear from you.

Position Overview: Title: Pharmacy Technician Location: Remote

Fully remote working environment available in the following states: AZ, CA, CO, FL, GA, IA, ID, IL, IN, MA, MI, MO, NC, NH, NJ, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV

Hours: Monday – Friday, 6:00 am – 7:00 pm MST (flexibility for early and late shifts required) Compensation: $20–$24/hour (commensurate with experience) Status: Full-time Reports To: Operations/Pharmacy Team Leads

Phil is seeking a detail-oriented, self-motivated Pharmacy Technician to join our growing team. You will play a key role in supporting the full prescription lifecycle; including insurance verification, troubleshooting prescription reroutes, and communicating directly with partners and prescribers. This role requires strong decision-making, communication, and multitasking abilities to ensure efficient order resolution and best-in-class patient care.

Primary Responsibilities:

  • Troubleshooting electronic, faxed, and verbal prescriptions via routing to appropriate channels into pharmacy systems

  • Review and update patient insurance using payer portals and phone resources

  • Determining appropriate situations for a prior authorization (PAs) need via payer-specific tools; troubleshoot denials and escalations

  • Utilize reroute best practices for orders falling outside normal workflow, including orders with state changes, insurance exceptions, pharmacy rejections, or failed transfers

  • Navigate operational platforms (e.g., BestRx, Ops Dash, Partner Dash, RelayHealth, etc.) and vendor systems effectively

  • Follow reroute protocols for specific tags including: non-contracted pharmacies, state shipping changes, PP send-backs, transfer not received, and more

  • Proactively document process notes with clear routing details, claim updates, and actions taken

  • Communicate with partner pharmacies, provider offices, and insurance carriers to resolve issues or clarify documentation

  • Collaborate with At-Risk, Partner Management, and PPM teams to escalate or flag orders based on system outages, stock issues, or policy refusals

  • Maintain productivity in the Reroute queue even during extended call hold times (e.g., multitask during insurance calls)

  • Ensure all patient, prescriber, and partner communications are clear, professional, and aligned with Phil’s standards of care

About You:

  • You thrive in a fast-paced, evolving startup environment and remain composed under pressure

  • You're passionate about helping patients access necessary medications

  • You are tech-savvy, comfortable toggling between multiple software systems and navigating insurance workflows

  • You’re a strong communicator, able to write succinct internal notes and speak clearly with external stakeholders

  • You’re self-driven but collaborative; you seek clarity, ask smart questions, and take initiative

  • You take pride in accuracy and process adherence, especially when rerouting orders or resolving insurance mismatches

Qualifications

  • Pharmacy Technician License in the state of residence(required)

  • PTCB certification (preferred)

  • Minimum 1 year of pharmacy technician experience, preferably in a Specialty, Mail Order, PBM (with Manufacturer and Insurance troubleshooting experience) or Retail setting.

Working Knowledge of

  • Insurance claim rejections (e.g., Reject 50/40, DUR codes, etc.)

  • Prior authorizations, override codes, and split billing scenarios

  • ICD-10 codes and drug classifications

  • FSA/HSA card restrictions and processing nuances

  • Medicaid/Medicare Experience

  • Routing tools and reroute resolution logic

  • Ability to work efficiently and with attention to detail, especially when handling complex re-routes

  • Strong written documentation and case management skills

Why Join Phil

  • Ground-floor opportunity in one of the fastest-growing health-tech startups

  • Help modernize prescription access for real-world impact

  • Competitive compensation and full benefits (medical, dental, vision, etc.)

  • 401(k)

  • Hybrid work model after 90 days (in-office collaboration & remote flexibility)

  • Collaborative, mission-driven team culture focused on innovation and patient care

You've read the whole posting — now see how you match it.