Pharmacy Technician – Prescription Routing & Claims Support jobs in United States
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PHIL, Inc. · 5 months ago

Pharmacy Technician – Prescription Routing & Claims Support

Phil is a San Francisco-based health-tech startup revolutionizing prescription access through a B2B2C platform. They are seeking a detail-oriented Pharmacy Technician to support the full prescription lifecycle, including insurance verification and troubleshooting prescription reroutes, ensuring efficient order resolution and best-in-class patient care.

BiotechnologyMedicalSoftware

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

Qualification

Pharmacy Technician LicensePTCB certificationInsurance claim rejectionsPrior authorizationsICD-10 codesMedicaid/Medicare experienceCase management skillsCommunicationAttention to detail

Required

Arizona or Ohio Pharmacy Technician License (required)
Minimum 1 year of pharmacy technician experience, preferably in a Specialty, Mail Order, PBM (with Manufacturer and Insurance troubleshooting experience) or Retail setting

Preferred

PTCB certification

Benefits

Competitive compensation and full benefits (medical, dental, vision, etc.)
401(k)
Hybrid work model after 90 days (in-office collaboration & remote flexibility)

Company

PHIL, Inc.

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PHIL helps pharmaceutical brands improve patient access, provider engagement, and brand outcomes through innovative technology and dedicated support.

Funding

Current Stage
Late Stage
Total Funding
$181.6M
Key Investors
K2 HealthVenturesWarburg PincusTarsadia Investments
2025-07-08Debt Financing· $60M
2021-11-17Series Unknown
2021-06-03Series D· $56M

Leadership Team

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Deepak Thomas
Founder/CEO
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Puran Singh
Co-Founder/VP, Engineering
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Company data provided by crunchbase