Remote Pharmacy Technician
Core
Front-line customer service representative for pharmacy benefits, handling inquiries on claims, prior authorization, and clinical program enrollment via phone, chat, and email.
Role type
Customer Service Representative (Pharmacy Benefits)
Builds
Member and provider support for a pharmacy benefits management (PBM) platform
Domain
Healthcare / Pharmacy Benefits Management
Deliverable
client delivery
Required skills
Pharmacy claims adjudication, benefit design, PBM terminology, multi-channel communication (phone/chat/email), root cause problem solving, documentation
Preferred skills
National Pharmacy Technician Certification (PTCB/NHA), mail order or specialty pharmacy background, clinical program enrollment experience
Technologies
AI-enabled tools, internal knowledge systems
Responsibilities
Field and resolve inquiries on mail order, formulary coverage, and medication cost; assist pharmacies in processing prescription claims; support clinical pharmacists with patient outreach and adherence follow-up; document interactions in internal systems; coordinate with internal teams for issue resolution.
Seniority
Individual Contributor, 1-3 years experience