Pharmacy Technician – Prescription Routing & Claims Support

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)

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