Remote Pharmacy Technician CPhT / Pharmacy Claims

Pharmacy Contact Center Pharmacy Customer Service Representative Location: Fully remote Pay: $21.00 per hour Type: Contract, (5) months until about April 2026 Schedule: Will be 40 hrs a week between 8a-8pm Training schedule: M-F, 9:00 AM to 5:30 PM EST for about (2) weeks Start date: 10/6/2025 Quantity: 5 Job description: • Provide Support & Issue Resolution: Respond to inquiries from members and healthcare providers (pharmacies and physicians) regarding pharmacy benefits, claim adjudication, and utilization management via phone, email, and written correspondence. • Ensure Accurate Documentation: Accurately document all interactions in the call tracking system following established protocols, ensuring clarity and completeness in issue resolution. • Claims Assistance & Review: Assist network pharmacies with claim processing and review prescription claims for accuracy in alignment with benefit guidelines and contract standards. • Customer Advocacy & Communication: Act as a customer advocate by clearly communicating resolutions, ensuring a positive experience while addressing and resolving complex issues. • Team Collaboration & Continuous Improvement: Contribute to a supportive, respectful team environment and participate in additional duties or special projects to enhance operations and member satisfaction. Requirements: • Must have (3) years of recent retail or professional pharmacy experience • Must have call center experience, Pharmacy Claims, Pharmacy benefits, Insurance calls, Utilization Management etc. • Active Certified Pharmacy Technician (CPhT) through PTCB or NHA • Must provide CPhT license number • Must submit an internet speed test • Must have a private designated workspace • High school diploma or equivalent • Background check required #IND123 #IND456 Job Types: Full-time, Contract Pay: From $21.00 per hour Experience: • certified Pharmacy technican call center : 3 years (Required) • claims, authorizations, medication terms, enrollment, : 1 year (Required) License/Certification: • CPHT (Required) Work Location: Remote Apply tot his job Apply To this Job