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Remote Certified Pharmacy Technician - Billing Specialist (7 on/7 off, Third Shift)

Remote, USA Full-time Posted 2025-11-03
About the position Responsibilities • Perform real-time and batch pharmacy claim adjudication across multiple payers. • Conduct detailed eligibility verification checks using insurance portals or third-party tools. • Review rejected claims and take corrective action to resolve billing errors. • Maintain accurate, complete documentation in the pharmacy system. • Communicate electronically via Microsoft Teams and Outlook with internal teams (pharmacists, technicians, billing) to resolve billing issues. • Prioritize claims based on urgency and turnaround time requirements. • Escalate systemic billing or coverage issues as appropriate. • Work independently in a high-volume, deadline-driven environment. Requirements • High school diploma or GED required. • Certified with the Pharmacy Technician Certification Board (PTCB) or the National Health Association (NHA) and maintain a current certificate. • Must maintain a pharmacy technician registration with the State Board of Pharmacy in the state they reside in. • Prior pharmacy billing experience required. • Must be 18 years or older. • Ability to perform in an office-based (or remote) setting that requires sitting at a desk 90% of the time. • Must have reliable high-speed internet and a quiet, dedicated private and distraction-free workspace for adherence to HIPAA. • Must be able to work a 7 on/7 off schedule of, Monday through Friday, 6:30 PM - 5:00 AM ET Saturday & Sunday, 6:00 PM - 6:00 AM ET. Nice-to-haves • Familiarity with pharmacy billing systems such as Rx30. • Understanding of Medicare Part D, Medicaid, and commercial insurance billing. Benefits • Medical, dental, and vision coverage effective 1st of the month following date of hire. • Flexible spending. • Company-paid life insurance and short-term disability. • Voluntary benefits. • 401(k). • Paid Time Off. • Paid holidays. Apply tot his job Apply To this Job

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