Pharmacy Technician – Prescription Routing & Claims Support

PHIL

  • San Francisco, California
  • 30+ days ago
  • Remote

    Highlights

    Utilize reroute best practices for orders falling outside normal workflow, including orders with state changes, insurance exceptions, pharmacy rejections, or failed transfers. 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.

    Numbers & Facts

    LocationSan Francisco, California (
    Remote
    )
    Websitehttps://phil.us/

    Description

    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)
    Compensation: $20–$24/hour (commensurate with experience)
    Status: Full-time
    Reports To: Operations/Pharmacy Team Leads

    Phil is seeking a detail-oriented, self-motivated Pharmacy Technician to join our growing team. You will play a key role in supporting the full prescription lifecycle; including insurance verification, troubleshooting prescription reroutes, and communicating directly with partners and prescribers. This role requires strong decision-making, communication, and multitasking abilities to ensure efficient order resolution and best-in-class patient care.

    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

    • FSA/HSA card restrictions and processing nuances

    • Medicaid/Medicare Experience

    • Routing tools and reroute resolution logic

    • Ability to work efficiently and with attention to detail, especially when handling complex re-routes

    • Strong written documentation and case management skills

    Why Join Phil

    • Ground-floor opportunity in one of the fastest-growing health-tech startups

    • Help modernize prescription access for real-world impact

    • Competitive compensation and full benefits (medical, dental, vision, etc.)

    • 401(k)

    • Hybrid work model after 90 days (in-office collaboration & remote flexibility)

    • Collaborative, mission-driven team culture focused on innovation and patient care