Registered Pharmacy Technician
$20 - $24/hr
Junior
Remote in USA+1 moreMore locations: San Francisco, CA, USA
RemoteRemote work is available only in the listed states.
Medical, Clinical & VeterinaryPharmacy
About the job
Requirements
- An active Pharmacy Technician license in the state of residence is required.
- National Pharmacy Technician Certification Board (PTCB) certification or Certified Pharmacy Technician (CPhT) credential is required.
- At least one year of experience as a Pharmacy Technician in a retail, specialty, mail-order, pharmacy benefit manager, or healthcare-related environment is required.
- Experience with prescription processing, insurance verification, claims resolution, prior authorizations, or medication access support is required.
- A strong understanding of pharmacy operations and prescription workflows is required.
- Ability to navigate multiple software systems, payer portals, and operational platforms simultaneously is required.
- Strong written and verbal communication skills are required.
- Organizational skills, attention to detail, and accuracy are required.
- Ability to work independently while contributing effectively within a collaborative team environment is required.
- A reliable high-speed internet connection and dedicated remote workspace are required.
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.
- Route and reroute prescriptions based on insurance requirements, pharmacy network restrictions, state regulations, transfer issues, and operational workflows.
- Review clinical documentation for completeness and accuracy before authorization submission.
- Navigate multiple pharmacy, operational, and vendor systems simultaneously while maintaining productivity and accuracy.
- Document activities, communications, and case updates within company systems.
- Collaborate with internal teams to address patient access barriers, pharmacy inventory issues, system outages, and other operational challenges.
- Communicate with prescribers, pharmacies, insurance carriers, and internal stakeholders to resolve issues in a timely manner.
- Follow established workflows, quality standards, and compliance requirements while maintaining productivity expectations.
- Support additional operational functions as business needs require.
Desired Qualifications
- Experience with specialty pharmacy, manufacturer support programs, or patient access services is preferred.
- Working knowledge of insurance claim rejections and override processes is preferred.
- Working knowledge of prior authorizations and appeals is preferred.
- Working knowledge of ICD-10 codes and prescription drug terminology is preferred.
- Working knowledge of Medicare, Medicaid, and commercial insurance plans is preferred.
- Working knowledge of pharmacy claims adjudication and reimbursement processes is preferred.
- Working knowledge of FSA/HSA payment considerations is preferred.
- Customer service or patient support experience is preferred.
About the company
Phil.us offers PhilRx, a digital health platform that streamlines obtaining prescribed medications for patients and helps providers manage care. It coordinates clinicians, payers, and pharmacies through a national dispense network, real-time HIPAA-compliant data, and workflows for prior authorization and formulary access. It stands out by delivering an integrated medication-access workflow along with consulting services and telemedicine, not just software. Its goal is to improve patient adherence and increase insured prescriptions while earning revenue from platform subscriptions, consulting services, and potential per-prescription economics.
Company Size
201-500
Company Stage
Debt Financing
Total Funding
$158.6M
Headquarters
Scottsdale, Arizona
Founded
2015
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Simplify's Take
What believers are saying
- January 2026 cash-dispense expansion increases throughput for New Day, YUVEZZI, and Addyi programs.
- PHIL reported 150% 2024 net revenue growth and 10x prescription volume since 2021.
- AI-driven workflows and 2026 funding support broader customer expansion and faster program deployment.
What critics are saying
- PHIL depends on partner launches; losing Tenpoint or Sprout would cut pipeline quickly.
- K2 HealthVentures debt adds repayment pressure if growth slows before 2027.
- Direct-to-patient margins face PBM, payer, and specialty-pharmacy retaliation as brands internalize access.
What makes Phil unique
- PHIL owns a direct-to-patient workflow spanning intake, fulfillment, analytics, and cash pharmacy.
- 2026 launches with Tenpoint, Sprout, and Evolved Health prove repeatable brand partnerships.
- PHIL’s nationwide network claims 99%+ plan coverage across all 50 states and territories.
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Benefits
- Health Insurance
- Dental Insurance
- Vision Insurance
- 401(k) Retirement Plan
- Remote Work Options
- Flexible Work Hours