Pharmacy Technician – Prescription Routing & Claims Support
Pharmacy Technician – Prescription Routing & Claims Support
Pharmacy Technician – Prescription Routing & Claims Support
Phil
Phil is a health-tech startup focused on improving prescription access through innovative technology. They are looking for a detail-oriented Pharmacy Technician to support the prescription lifecycle, ensuring efficient order resolution and patient care.
Qualification
- Detail-oriented and self-motivated
- Strong decision-making and communication skills
- Ability to multitask effectively
- Experience with pharmacy systems and operational platforms
- Knowledge of insurance verification and prior authorization processes
Responsibility
- 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
- Determine appropriate situations for prior authorization needs via payer-specific tools; troubleshoot denials and escalations
- Utilize reroute best practices for orders falling outside normal workflow
- Navigate operational platforms and vendor systems effectively
- 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 various teams to escalate or flag orders based on system outages or stock issues
