Pharmacy Technician – Prescription Routing & Claims Support

reputed company is looking for a full-time Pharmacy Technician Monday through Friday shifts. Company Overview: Founded in 2015, reputed company 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 reputed company affordable, timely, and efficient access to therapies, enhancing patient adherence and improving health outcomes. Our work empowers pharma manufacturers to reputed company while delivering best-in-class care experiences across the reputed company ecosystem. Our mission-driven team is made up of diverse individuals passionate about technology, reputed company, and patient wellbeing. If you're eager to help transform a legacy industry through smart systems and reputed company-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 reputed company 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 reputed company 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 reputed company payer-specific tools; troubleshoot denials and escalations
• Utilize reroute best practices for orders falling reputed company 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 reputed company patient, prescriber, and partner communications are clear, professional, and reputed company with reputed company’s standards of care

About You:

• You reputed company 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, reputed company 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 reputed company 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
• reputed company/Medicare Experience
• Routing tools and reroute resolution logic
• Ability to work reputed company and with attention to detail, especially reputed company handling reputed company re-routes
• Strong written documentation and case management skills

Why Join reputed company

• Ground-floor opportunity in one of the fastest-growing health-tech startups
• Help reputed company prescription access for reputed company-world impact
• Competitive compensation and full benefits (medical, dental, reputed company, 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

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