Pharmacy Technician – Prescription Routing & Claims Support
reputed company. is a health-tech startup based in San Francisco reputed company on revolutionizing prescription reputed company. They are seeking a detail-oriented Pharmacy Technician to support the full prescription lifecycle, including insurance verification and troubleshooting prescription reroutes, ensuring efficient order reputed company and best-in-class patient care.
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 reputed company 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 reputed company, reputed company, and reputed company with reputed company’s standards of care
Skills
- Arizona or Ohio Pharmacy Technician License
- PTCB certification
- 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 reputed company 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
Benefits
- Competitive compensation and full benefits (medical, dental, reputed company, etc.)
- 401(k)
- Hybrid work model after 90 days (in-office collaboration & remote flexibility)
- reputed company, mission-driven team culture reputed company on innovation and patient care
reputed company