Registered Pharmacy Technician - Part-Time

Position Overview

The Seasonal Pharmacy Technician plays a critical role in supporting prescription processing, insurance verification, claims resolution, prior authorizations, and pharmacy routing activities that help patients gain timely access to medications.

Key Responsibilities

• Process and enter electronic, faxed, and verbal prescription orders within pharmacy systems.
• Review, verify, and update patient insurance information using payer portals and phone resources.
• Determine when prior authorizations are required and submit authorization requests through payer-specific portals and vendor platforms.
• Monitor, track, and troubleshoot prior authorization requests, claim rejections, denials, and escalations.
• Resolve prescription processing issues by coordinating with provider offices, insurance carriers, and pharmacy partners.
• Routinely and reroute prescriptions appropriately based on insurance requirements, pharmacy network restrictions, state regulations, transfer issues, and operational workflows.
• Review clinical documentation for completeness and accuracy prior to authorization submission.
• Navigate multiple pharmacy, operational, and vendor systems simultaneously while maintaining productivity and accuracy.
• Document all activities, communications, and case updates thoroughly within company systems.
• Collaborate with internal teams to address patient access barriers, pharmacy inventory issues, system outages, and other operational challenges.
• Communicate professionally with prescribers, pharmacies, insurance carriers, and internal stakeholders to ensure timely resolution of issues.
• Follow established workflows, quality standards, and compliance requirements while maintaining productivity expectations.
• Support additional operational functions as business needs require.

Required Qualifications

• Active Pharmacy Technician license in state of residence.
• Minimum one year of experience as a Pharmacy Technician in a retail, specialty, mail-order, PBM, or healthcare-related environment.
• Experience with prescription processing, insurance verification, claims resolution, prior authorizations, or medication access support.
• Strong understanding of pharmacy operations and prescription workflows.
• Ability to navigate multiple software systems, payer portals, and operational platforms simultaneously.
• Strong written and verbal communication skills.
• Excellent organizational skills with strong attention to detail and accuracy.
• Ability to work independently while contributing effectively within a collaborative team environment.
• Reliable high-speed internet connection and dedicated remote workspace.

Preferred Qualifications

• PTCB Certification (preferred)
• Experience with specialty pharmacy, manufacturer support programs, or patient access services.
• Working knowledge of:
• Insurance claim rejections and override processes
• Prior authorizations and appeals
• ICD-10 codes and prescription drug terminology
• Medicare, Medicaid, and commercial insurance plans
• Pharmacy claims adjudication and reimbursement processes
• FSA/HSA payment considerations
• Customer service or patient support experience.

Success Factors

• Passion for helping patients access critical medications.
• Ability to thrive in a fast-paced and evolving environment.
• Strong problem-solving and critical-thinking skills.
• Self-motivated, dependable, and adaptable.
• Excellent multitasking and time-management abilities.
• Commitment to accuracy, process adherence, and exceptional service.
• Professional and collaborative approach when working with internal and external stakeholders.